在儿科重症监护和医院病房设置之间,粮食不安全的流行程度
Kendra S Haas1, Bethany Selby2, Sukruthi Yerramreddy2
1Department of Pediatrics, University of Louisville School of Medicine, Norton Children's Hospital, Louisville, KY.
儿童重症监护室 (PICU) 患者的粮食不安全性 (FI) 比医院医疗 (HM) 楼层更为常见. 黑人和西班牙裔儿童患FI的几率更高,这强调了在重症监护机构进行查和干预的必要性.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 公共卫生营养 公共卫生营养
- 健康差异研究 研究健康差异研究
背景情况:
- 粮食不安全是影响儿童群体健康的重要社会决定因素.
- 了解不同医院环境中的FI患病率对于有针对性的干预至关重要.
- 之前的研究并没有广泛地比较儿科重症监护室 (PICU) 和一般医院医疗 (HM) 楼层之间的FI率.
研究的目的:
- 为了确定食品不安全的流行率在儿科患者入院到PICU.
- 为了比较PICU和HM楼层入院之间的FI的患病率.
- 为了确定与FI相关的临床和人口因素在儿童医院入院.
主要方法:
- 在2023年,对儿童患者 (0-18岁) 住院时间≥24小时的回顾性图表审查.
- 使用饥饿生命体征工具来选粮食不安全.
- 使用千平方测试和后勤回归,分析人口统计和临床变量,比较FI患病率.
主要成果:
- 在2820名符合条件的患者中,FI患病率在PICU (9%) 和HM床 (6.5%) 相比,在PICU中更高.
- 与白人患者相比,黑人和西班牙裔儿科患者的粮食不安全概率明显高.
- 接纳地点,年龄,性别和逗留时间都没有独立地与FI相关联.
结论:
- 这项研究是第一个比较PICU和HM患者之间的FI患病率的研究,也是迄今为止PICUFI的最大研究.
- 在PICU的入院者中,FI更为普遍,不成比例地影响黑人和西班牙裔儿童.
- 调查结果强调需要在PICU环境中实施对粮食不安全的查和干预策略.
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