对儿科复杂肺炎的临床实践算法的评估:一个回顾性,观察性,单中心研究
Claire A Ostertag-Hill1, Olivia W Cummings2, Elizabeth J Renaud3
1Department of Surgery, Brown University; Rhode Island Hospital, Providence, Rhode Island.
Rhode Island medical journal (2013)
|January 27, 2026
概括
对儿科复杂肺炎实施临床实践算法减少了重复手术,并显示了短期住院的趋势. 这种标准化的方法优化了对患有复杂肺炎的儿童的护理,而不会增加医生的工作负担.
科学领域:
- 儿科肺病学 儿科肺病学
- 临床实践指南 临床实践指南
- 医疗保健管理的管理
背景情况:
- 儿童复杂性肺炎的管理缺乏标准化,可能导致长时间住院,增加辐射暴露和更高的成本.
- 一个多学科团队开发了一种临床实践算法,以标准化对儿科复杂肺炎的护理.
- 该算法旨在优化患者护理,并最大限度地减少医生工作量.
研究的目的:
- 评估针对儿科复杂性肺炎新实施的临床实践算法的有效性.
- 评估算法对患者护理,资源利用和医生工作量的影响.
主要方法:
- 基于专家意见和文献审查,开发了一个临床实践算法.
- 追溯数据收集了实施前和实施后的31个月 (不包括6个月的过渡期).
- 分析了患者的特征,干预措施和结果.
主要成果:
- 协议实施与重复程序的显著减少有关 (32%对0%,p=0.02).
- 在手术咨询的时间,咨询服务的数量,ICU入院,放射学研究或再入院率方面没有观察到重大变化.
- 观察到停留时间减少的趋势 (10.0 vs 9.0天,p=0.31).
结论:
- 对于儿科复杂性肺炎的机构协议没有增加服务利用率.
- 该方案与治疗失败后重复手术的减少有关.
- 建议进行进一步的前性研究,以完善复杂肺炎的管理.
相关概念视频
Pneumonia III: Complications and Assessment
847
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
847
Observational Studies
11.0K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
11.0K
Pneumonia I: Introduction
862
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
862
Pneumonia II: Pathophysiology
2.8K
The pathophysiology of pneumonia involves the following steps:
2.8K
Lattice Centering and Coordination Number
11.5K
The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
Types of Unit Cells
Imagine taking a large number of identical...
11.5K
Naturalistic Observations
17.1K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
17.1K


