儿童食管闭锁和气管食管瘘的多学科协调护理。

IF 1.3 4区 医学 Q3 NURSING
Jody M Platt, Alberto Nettel-Aguirre, Candice L Bjornson, Ian Mitchell, Kathryn Davis, Ja Michelle Bailey
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引用次数: 0

摘要

食管闭锁/气管食管闭锁(EA/TEF)是一种多系统先天性异常。从历史上看,患有EA/TEF的儿童缺乏协调的护理。2005年建立了一个多学科诊所,以提供协调的护理和改善门诊服务。本单中心回顾性队列研究旨在描述2005年3月至2011年3月出生的EA/TEF患者队列,评估护理协调,并比较多学科门诊儿童与之前未进行多学科门诊的队列的结果。图表审查确定了人口统计、住院、急诊、门诊就诊和门诊护理协调。纳入27例患者;75.9%为c型EA/TEF。诊所提供多学科护理,对就诊计划的依从性很高,中位数为100% (IQR 50)。与早期队列相比,新队列(N = 27)在生命的前两年住院次数更少,LOS显著降低。多学科护理诊所为医疗复杂的儿童提供服务,可以改善与多个保健提供者的就诊协调,并可能有助于减少急症护理服务的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multidisciplinary coordination of care for children with esophageal atresia and tracheoesophageal fistula.

Esophageal Atresia/Tracheoesophageal Atresia (EA/TEF) is a multisystem congenital anomaly. Historically, children with EA/TEF lack coordinated care. A multidisciplinary clinic was established in 2005 to provide coordinated care and improve access to outpatient care. This single-center retrospective cohort study was conducted to describe our cohort of patients with EA/TEF born between March 2005 and March 2011, assess coordination of care, and to compare outcomes of children in the multidisciplinary clinic to the previous cohort without a multi-disciplinary clinic. A chart review identified demographics, hospitalizations, emergency visits, clinic visits, and coordination of outpatient care. Twenty-seven patients were included; 75.9% had a C-type EA/TEF. Clinics provided multidisciplinary care and compliance with the visit schedule was high with a median of 100% (IQR 50). Compared to the earlier cohort, the new cohort (N = 27) had fewer hospital admissions and LOS was reduced significantly in the first 2 years of life. Multidisciplinary care clinics for medically complex children can improve coordination of visits with multiple health care providers and may contribute to reduced use of acute care services.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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