儿科创伤患者非计划入住重症监护病房的结局和预测因素。

IF 1.4 Q3 SURGERY
Tyler Liang MD , Areg Grigorian MD , Robert Painter MD , James Jeng MD , Theresa Chin MD , Laura F. Goodman MD MPH , Yigit S. Guner MD , Catherine Kuza MD , Jeffry Nahmias MD MHPE
{"title":"儿科创伤患者非计划入住重症监护病房的结局和预测因素。","authors":"Tyler Liang MD ,&nbsp;Areg Grigorian MD ,&nbsp;Robert Painter MD ,&nbsp;James Jeng MD ,&nbsp;Theresa Chin MD ,&nbsp;Laura F. Goodman MD MPH ,&nbsp;Yigit S. Guner MD ,&nbsp;Catherine Kuza MD ,&nbsp;Jeffry Nahmias MD MHPE","doi":"10.1016/j.sopen.2024.12.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality.</div></div><div><h3>Methods</h3><div>The 2017–2019 Trauma Quality Improvement Program (TQIP) database was queried for PTPs ≤16-years-old admitted to non-ICU level of care. Patients with UIA were compared to those without UIA. Multivariable logistic regression analysis was performed to determine predictors of UIA.</div></div><div><h3>Results</h3><div>From 142,160 PTPs, 233 patients had UIA (&lt;1 %). The UIA group had increased acute kidney injury (2.6 % vs 0 %, p &lt; 0.001), length of stay (7 vs 2 days, p &lt; 0.001), and mortality (1.3 % vs. 0.1 %, p &lt; 0.001). Independent predictors of UIA included ureteral, esophageal, and brain injury (all p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>UIA for PTPs is rare but associated with increased complications and death. Significant predictors of UIA include ureteral, esophageal and brain injury.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"23 ","pages":"Pages 30-34"},"PeriodicalIF":1.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745942/pdf/","citationCount":"0","resultStr":"{\"title\":\"Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients\",\"authors\":\"Tyler Liang MD ,&nbsp;Areg Grigorian MD ,&nbsp;Robert Painter MD ,&nbsp;James Jeng MD ,&nbsp;Theresa Chin MD ,&nbsp;Laura F. Goodman MD MPH ,&nbsp;Yigit S. Guner MD ,&nbsp;Catherine Kuza MD ,&nbsp;Jeffry Nahmias MD MHPE\",\"doi\":\"10.1016/j.sopen.2024.12.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality.</div></div><div><h3>Methods</h3><div>The 2017–2019 Trauma Quality Improvement Program (TQIP) database was queried for PTPs ≤16-years-old admitted to non-ICU level of care. Patients with UIA were compared to those without UIA. Multivariable logistic regression analysis was performed to determine predictors of UIA.</div></div><div><h3>Results</h3><div>From 142,160 PTPs, 233 patients had UIA (&lt;1 %). The UIA group had increased acute kidney injury (2.6 % vs 0 %, p &lt; 0.001), length of stay (7 vs 2 days, p &lt; 0.001), and mortality (1.3 % vs. 0.1 %, p &lt; 0.001). Independent predictors of UIA included ureteral, esophageal, and brain injury (all p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>UIA for PTPs is rare but associated with increased complications and death. Significant predictors of UIA include ureteral, esophageal and brain injury.</div></div>\",\"PeriodicalId\":74892,\"journal\":{\"name\":\"Surgery open science\",\"volume\":\"23 \",\"pages\":\"Pages 30-34\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745942/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgery open science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2589845024001386\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery open science","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2589845024001386","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

背景:非计划重症监护病房(ICU)入住(UIA)与成人创伤患者的发病率增加有关,然而,在儿科创伤患者(PTPs)中尚未得到很好的研究。我们试图确定UIA的预测因素,假设ptp与UIA的死亡率增加。方法:查询2017-2019年创伤质量改善计划(TQIP)数据库,收集≤16岁入住非icu护理级别的ptp患者。将有UIA的患者与没有UIA的患者进行比较。采用多变量logistic回归分析确定UIA的预测因素。结果:在142160名ptp患者中,233名患者有UIA(结论:ptp患者的UIA很少见,但与并发症和死亡增加有关。UIA的重要预测因素包括输尿管、食管和脑损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients

Background

Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality.

Methods

The 2017–2019 Trauma Quality Improvement Program (TQIP) database was queried for PTPs ≤16-years-old admitted to non-ICU level of care. Patients with UIA were compared to those without UIA. Multivariable logistic regression analysis was performed to determine predictors of UIA.

Results

From 142,160 PTPs, 233 patients had UIA (<1 %). The UIA group had increased acute kidney injury (2.6 % vs 0 %, p < 0.001), length of stay (7 vs 2 days, p < 0.001), and mortality (1.3 % vs. 0.1 %, p < 0.001). Independent predictors of UIA included ureteral, esophageal, and brain injury (all p < 0.001).

Conclusion

UIA for PTPs is rare but associated with increased complications and death. Significant predictors of UIA include ureteral, esophageal and brain injury.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.30
自引率
0.00%
发文量
0
审稿时长
66 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信