儿童体质症状和相关疾病的入院:国家数据库研究
Nicole E Kelly1,2,3, Anjile An4, Katherine A Nash2
1NewYork-Presbyterian Hospital, New York, New York.
Hospital pediatrics
|December 9, 2025
概括
儿童体征症状和相关疾病 (SSRDs) 的年度住院治疗影响着不同的年轻人. 诸如多重诊断和保险类型等因素影响医疗保健利用率和成本.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 儿科体征症状和相关疾病 (SSRD) 显著影响年轻患者的福祉,可能需要住院护理.
- 有限的国家数据存在于美国的住院病例中的儿科SSRD的流行率和医疗保健利用模式.
研究的目的:
- 确定接受SSRD治疗的儿科患者的患病率和人口统计特征.
- 分析这些入院的医疗保健利用情况,包括入院时间和费用.
- 确定与儿科SSRD住院患者中高医疗利用率相关的因素.
主要方法:
- 利用儿科健康信息系统 (PHIS) 的数据,用于2016年至2023年间的住院患者.
- 包括5至21岁的患者,接受入院或初级SSRD诊断.
- 采用描述性统计和多变量物流回归来确定高利用率的预测因素 (例如,再录取,长期停留,高成本).
主要成果:
- 分析了48家医院的6820次接触,揭示了多样化的患者群体 (主要是12-18岁,女性,非西班牙裔白人).
- 确定了多重诊断 (≥7) 和东北地区住院治疗之间的关联,增加了长期LOS,高成本和再入院的几率.
- 西班牙裔患者的高成本入院概率更高,而商业保险和并发性焦虑与长时间的LOS有关.
结论:
- 美国三级儿童医院每年约有853例儿童SSRD病例发生,影响社会人口统计学上不同的群体.
- 医疗保健利用率存在显著差异,需要对其潜在驱动因素进行进一步研究.
- 了解这些利用模式对于优化护理和解决儿科精神卫生保健中的不平等至关重要.
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