...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Surgical Research: Clinical and Laboratory Investigation >Delayed family reunification ?f pediatric disaster survivors increases mortality and inpatient hospital costs: a simulation study
【24h】

Delayed family reunification ?f pediatric disaster survivors increases mortality and inpatient hospital costs: a simulation study

机译：一项模拟研究：推迟家庭团聚使儿科灾难幸存者增加死亡率和住院费用

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Disasters occur randomly and can severely tax the health care delivery system of affected and surrounding regions. A significant proportion of disaster survivors are children, who have unique medical, psychosocial, and logistical needs after a mass casualty event. Children are often transported to specialty centers after disasters for a higher level of pediatric care, but this can also lead to separation of these survivors from their families. In a recent theoretical article, we showed that the availability of a pediatric trauma center after a mass casualty event would decrease the time needed to definitively treat the pediatric survivor cohort and decrease pediatric mortality. However, we also found that if the pediatric center was too slow in admitting and discharging patients, these benefits were at risk of being lost as children became "trapped" in the slow center. We hypothesized that this effect could result in further increased mortality and greater costs. Methods: Here, we expand on these ideas to test this hypothesis via mathematical simulation. We examine how a delay in discharge of part of the pediatric cohort is predicted to affect mortality and the cost of inpatient care in the setting of our model.
机译：背景：灾难是随机发生的，可能严重影响受灾地区和周边地区的医疗服务体系。很大一部分的灾难幸存者是儿童，他们在发生大规模人员伤亡事件后具有独特的医疗，心理和后勤需求。灾难发生后，儿童通常被送往专科中心接受更高级别的儿科护理，但这也可能导致这些幸存者与家人分离。在最近的一篇理论文章中，我们表明发生大规模人员伤亡事件后建立了小儿创伤中心将减少确定治疗小儿幸存者队列所需的时间，并降低小儿死亡率。但是，我们还发现，如果小儿科中心收治和出院的速度太慢，这些好处就有可能失去，因为儿童被“困在”了慢速中心。我们假设这种影响可能导致死亡率进一步增加和成本增加。方法：在这里，我们扩展这些思想以通过数学模拟检验该假设。我们研究了在模型设置中如何预测小儿队列的延迟出院会影响死亡率和住院护理费用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号