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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric Respiratory Illness Measurement System (PRIMES) Scores and Outcomes
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Pediatric Respiratory Illness Measurement System (PRIMES) Scores and Outcomes

机译：儿科呼吸道疾病测量系统（Primes）分数和结果

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BACKGROUND AND OBJECTIVES: The Pediatric Respiratory Illness Measurement System (PRIMES) generates condition-specific composite quality scores for asthma, bronchiolitis, croup, and pneumonia in hospital-based settings. We sought to determine if higher PRIMES composite scores are associated with improved health-related quality of life, decreased length of stay (LOS), and decreased reuse. METHODS: We conducted a prospective cohort study of 2334 children in 5 children's hospitals between July 2014 and June 2016. Surveys administered on admission and 2 to 6 weeks postdischarge assessed the Pediatric Quality of Life Inventory (PedsQL). Using medical records data, 3 PRIMES scores were calculated (0-100 scale; higher scores = improved adherence) for each condition: an overall composite (including all quality indicators for the condition), an overuse composite (including only indicators for care that should not be provided [eg, chest radiographs for bronchiolitis]), and an underuse composite (including only indicators for care that should be provided [eg, dexamethasone for croup]). Multivariable models assessed relationships between PRIMES composite scores and (1) PedsQL improvement, (2) LOS, and (3) 30-day reuse. RESULTS: For every 10-point increase in PRIMES overuse composite scores, LOS decreased by 8.8 hours (95% confidence interval [CI] -11.6 to -6.1) for bronchiolitis, 3.1 hours (95% CI -5.5 to -1.0) for asthma, and 2.0 hours (95% CI -3.9 to -0.1) for croup. Bronchiolitis overall composite scores were also associated with shorter LOS. PRIMES composites were not associated with PedsQL improvement or reuse. CONCLUSIONS: Better performance on some PRIMES condition-specific composite measures is associated with decreased LOS, with scores on overuse quality indicators being a primary driver of this relationship.
机译：背景和目标：儿科呼吸道疾病测量系统（PRIMES）在医院的环境中为哮喘，支气管炎，哮喘和肺炎产生哮喘，支气管炎，哮喘和肺炎的病情特异性复合质量评分。我们试图确定是否与改善与相关的健康相关的生活质量相关，保持寿命长度（LOS）和减少重复使用。方法：我们在2014年7月至2016年7月至6月介绍了2334名儿童医院的预期队列研究。入场费和2至6周后的调查评估了生命库存的儿科质量库存（PEDSQL）。使用医疗记录数据，计算出3个预测分数（0-100规模;较高的分数=改进的粘附性）对于每个条件：整体复合材料（包括条件的所有质量指标），过度使用综合（包括应注意的指标不提供[例如支气管炎的胸部射线照片]）和底下复合材料（包括应提供的护理指示剂[例如，用于哮喘的地塞米松]）。多变量型号评估了Primes综合评分和（1）Pedsql改进，（2）LOS和（3）30天重复使用之间的关系。结果：对于Hefes过度使用综合评分的每10分，LOS减少了8.8小时（95％置信区间[CI] -11.6至-6.1），用于支气管炎，3.1小时（95％CI -5.5至-1.0）哮喘2.0小时（95％CI -3.9至-0.1）的兄弟。支气管炎的整体综合评分也与较短的洛杉矶相关。 Primes复合材料与PEDSQL改善或重用无关。结论：对某些素质的性能更好的性能特定的综合措施与洛杉矶减少有关，分数在过度使用质量指标中是这种关系的主要驾驶员。

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