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首页> 外文期刊>Emerging themes in epidemiology >Do children with neurological disabilities use more inpatient resources: an observational study
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Do children with neurological disabilities use more inpatient resources: an observational study

机译：一项观察性研究表明，患有神经疾病的儿童会使用更多的住院资源吗？

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BackgroundAdvances in healthcare have improved the survival of children with neurological disabilities (ND). Studies in the US have shown that children with ND use a substantial proportion of resources in children’s hospitals, however, little research has been conducted in the UK. We aimed to test the hypothesis that children with neurological disabilities use more inpatient resources than children without neurological disabilities, and to quantify any significant differences in resource use. Methods A retrospective observational study was conducted, looking at the number of hospital admissions, total inpatient days and the reason for admissions for paediatric inpatients from January 1st to March 31st 2015. Inpatients were assigned into one of three groups: children without ND, children with one ND, and children with more than one ND. ResultsThe sample population included 942 inpatients (mean age 6y 6mo). Children with at least one ND accounted for 15.3% of the inpatients, 17.7% of total hospital inpatient admission episodes, and 27.8% of the total inpatients days. Neurological disability had a statistically significant effect on total hospital admissions ( p p ConclusionsChildren with ND had more frequent hospital admission episode and longer inpatient stays. We identified a smaller group within this population, with arguably more complex neurological disabilities, children with more than one ND. This group had the highest number of admissions and longest inpatient stays. More frequent hospital admissions and longer inpatient stays may place children with ND at greater risk of the adverse effects of hospitalisations. We recommend further investigations looking at each the effects of the different categories of ND on inpatient resource use, and repeat of this study at a national level and over a longer period of time.
机译：背景技术医疗保健方面的进步改善了神经障碍儿童（ND）的存活率。美国的研究表明，患有ND的儿童在儿童医院中使用了大量资源，但是，在英国进行的研究很少。我们的目的是检验以下假设：与没有神经系统残疾的儿童相比，神经系统残疾的儿童使用更多的住院资源，并量化资源使用方面的任何显着差异。方法进行回顾性观察研究，调查2015年1月1日至3月31日儿童住院的住院人数，总住院天数和入院原因。将住院患者分为三组之一：无ND儿童， 1个ND，以及一个以上ND的孩子。结果样本人群包括942名住院患者（平均年龄6y 6mo）。患有至少一种ND的儿童占住院病人的15.3％，占住院病人总数的17.7％，占住院天数的27.8％。神经性残疾对住院总人数具有统计学上的显着影响（第pp结论）ND儿童的住院频率更高，住院时间更长。我们在这一人群中发现了一个较小的人群，可以说是神经疾病较为复杂，即ND多于一个儿童。该组的入院人数最多，住院时间最长，住院次数较多和住院时间较长可能使ND儿童患上住院不良反应的风险更大，我们建议进一步调查以了解不同类别的儿童的影响。关于住院病人资源使用的ND，并在国家一级和更长的时间里重复进行这项研究。

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