转至急诊科的儿童热相关疾病患者的特征:描述性分析。

IF 1.9 Q2 EMERGENCY MEDICINE
Yohei Okada, Marcus Eng Hock Ong, Tadashi Ishihara, Shoji Yokobori, Jun Kanda
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引用次数: 0

摘要

背景:儿童由于其独特的生理和行为特征,特别容易受到与热有关的疾病的伤害。了解儿童热相关疾病的流行病学和临床特征对指导有针对性的预防措施和管理策略至关重要。本描述性研究的目的是调查儿科患者的特点与热相关的疾病转移到急诊科(ED)在日本。方法:本研究是由日本急性医学协会中暑和低温监测委员会领导的中暑研究的二次分析。本研究纳入了儿科患者(结果:在3154名注册患者中,包括146名儿童。其中男性占60%,年龄中位数为15岁(四分位数间距[IQR]: 13-16岁)。大多数病例发生在8月(47%),大多数病例(80%)与体育活动和户外环境有关(70%)。体温高于40°C的病例罕见(3%)。大多数病例住院(75%到普通病房,16%到ICU), ICU患者意识状态改变,血清肌酐升高。有两例死亡,均为院外心脏骤停。结论:小儿热相关性疾病多发生在8月份的初高中年龄,多与户外运动有关。入院的病人有意识状态改变、脱水和急性肾损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of pediatric patients with heat-related illness transferred to emergency departments: Descriptive analysis.

Background: Children are particularly vulnerable to heat-related illnesses due to their unique physiological and behavioral characteristics. Understanding the epidemiology and clinical features of heat-related illnesses in children is crucial for guiding targeted preventive measures and management strategies. This descriptive study aims to investigate the characteristics of pediatric patients with heat-related illness transferred to emergency department (ED) s in Japan.

Method: This study was a secondary analysis of the Heatstroke study, led by the Heatstroke and Hypothermia surveillance committee of the Japanese Association for Acute Medicine. This study included pediatric patients (<18 years old) with heat-related illness transferred to EDs in the summer from 2017 to 2021. We summarized the circumstances of onset, clinical characteristics, and outcomes.

Results: Of the 3,154 registered patients, 146 children were included. Of them, 60% were male, with a median age of 15 years (interquartile range [IQR]: 13-16). Most cases occurred in August (47%) and most cases (80%) were associated with sports activities and with outdoor setting (70%). Cases with a body temperature above 40°C were rare (3%). Most cases were admitted to hospitals (75% to a general ward, and 16% to the ICU), and patients admitted to ICU had altered consciousness status with increased serum creatinine. There were two cases of mortality, both of which were out-of-hospital cardiac arrest.

Conclusion: Most pediatric cases with heat-related illness were middle or high school-aged, occurred in August and were related to outdoor sports activity. Patients admitted to hospitals suffered from altered consciousness status, dehydration and acute kidney injury.

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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
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