在PICU治疗的患儿慢性健康状态对严重急性疾病易感性的影响

作     者：Me■trovi J. Kardum G. Poli B. 郭战宏 

作者机构：PediatricIntensive Care UnitDepartment of PediatricsSplit University HospitalSpinèiceva 121000 SplitCroatia 

出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)

年 卷 期：2006年第2卷第12期

页      面：24-25页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：PICU 疾病易感性 神经发育障碍 性健康 人工呼吸器 入住时间 急性疾病 斯普利特 大学医院 人工 

摘      要：Objectives:Our study aimed to assess differences in the susceptibility to severe acute illness in children with and without chronic health conditions treated in a pediatric intensive care unit (PICU). Patients and methods:Data on age,gender,need for ventilator support,length of stay,as well as other parameters for the Paediatric Index of Mortality (PIM2) score were *** were analyzed and compared across three patient groups:those with a neurodevelopmental disability,those with a chronic condition other than a neurodevelopmental disability,and those with no chronic condition. Reasons for admission of patients were classified according to the Australia and New Zealand Paediatric Intensive Care Registry (ANZPIC Registry)-diagnostic codes. In the multidisciplinary,seven-bed,level IPICU of the Split University Hospital,the admission data were collected prospectively for 591 consecutively admitted patients aged ≤18 years. Results:Patients with a neurodevelopmental disability had a significantly higher rate of respiratory-related admissions compared to patients with other chronic health conditions and those with no chronic condition (χ2=33.72,P 0.001). There was a significant difference in the age at admission (f=6.04,P=0.003),median length of stay (f=7.94,P 0.001),need for ventilation during the first hour of admission(χ2=14.74,P 0.001) and PICU mortality (χ2=9.91,P=0.007)-of patients with neurodevelopmental disabilities,compared to the other two groups of patients. Conclusion:Children with neurodevelopmental disabilities are more susceptible to acute illness compared to children with other chronic health conditions and those with no chronic condition.