在怀孕30周之前出生的儿童中使用儿科重症监护的风险:单中心研究
Annemijn C C B Ekelmans1,2,3,4, Rosemarie de Ridder1,4, Suzanne W J Terheggen2,4
1Neonatal Intensive Care Unit, Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
European journal of pediatrics
|January 19, 2026
概括
在怀孕30周之前出生的婴儿中,大约10%需要在新生儿重症监护室 (NICU) 退院后入住儿科重症监护室 (PICU). 极端早产和死性肠球炎增加了这种风险.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 公共卫生 公共卫生
背景情况:
- 过早出生婴儿的生存率增加.
- 过早出生的婴儿面临着更高的发病率和医疗保健利用率. 新生儿重症监护室 (NICU) 退院后.
研究的目的:
- 确定婴儿重症监护室 (NICU) 退院后30周妊娠年龄 (GA) 之前出生的婴儿入院率.
- 在这个脆弱人群中确定PICU入院的风险因素.
主要方法:
- 回顾性,单中心研究.
- 包括在2016-2021年间出生的459名婴儿,GA<30周.
- 随访期为NICU退院后的3-9年.
主要成果:
- 10.9%的婴儿至少有一次被接收到PICU.
- PICU的入院率因GA而异 (23.5%在24周与6.5%在29周).
- 妊娠年龄<28周 (OR 2.41) 和死性肠球炎等级≥2 (OR 6.20) 是PICU入院的独立风险因素.
结论:
- 在怀孕30周之前出生的每10个婴儿中就有1个需要在NICU出院后进入PICU.
- 极端早产和死性肠球炎是随后的PICU入院的重要风险因素.
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