了解自闭症儿科患者鼻炎的并发症:一项KID数据库研究
Soumil Prasad1, Levi Travis1, Christine Mei1
1University of Miami Miller School of Medicine, Miami, Florida, USA.
概括
患有自闭症谱系障碍 (ASD) 的儿童因急性鼻炎住院,面临着和轨道并发症的更高风险. 他们也不太可能接受必要的鼻手术,突出需要专业护理.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 神经发育障碍 神经发育障碍
- 传染病并发症 传染病并发症
背景情况:
- 急性鼻炎在儿童中很常见,但自闭症谱系障碍 (ASD) 患者的并发症风险可能不同.
- 了解这些风险对于适当的医疗和手术管理至关重要.
研究的目的:
- 为了比较患有急性鼻炎的儿科患者中轨道和神经系统并发症的发生率,根据ASD诊断进行分层.
- 评估ASD和没有ASD的儿科患者之间手术干预,停留时间和成本的差异.
主要方法:
- 使用2019年儿童住院患者数据库 (KID) 的回顾性队列研究.
- 确定了患有急性鼻炎的儿科患者,将ASD患者与神经类型的同龄人进行比较.
- 使用倾向得分匹配 (PSM) 来控制混变量.
主要成果:
- 与对照组相比,ASD患者的发作率 (26.4%对6.3%) 和轨道并发症率 (4%对1.4%) 较高.
- 患有自闭症的患者不太可能接受上鼻手术 (OR=0.46).
- 在住院时间或医院费用方面没有发现显著差异.
结论:
- 由于急性鼻炎而住院的ASD儿童患者患有发作等神经系统并发症的风险较高.
- 这些孩子不太可能接受某些手术干预,这表明在护理方面存在潜在的差异.
- 研究结果强调需要针对ASD儿童鼻炎患者进行量身定制的神经监测和对外科决策的调查.
相关概念视频
01:19Autism Spectrum Disorder
905
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
905
01:24Asthma-III: Symptoms and Complications
3.2K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
3.2K
01:30Pneumonia III: Complications and Assessment
762
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
762