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Developing Pediatric Critical Care in Kenya*

机译:在肯尼亚开发儿科关键护理*

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摘要

Objective: To describe efforts to improve the care of critically ill children in a tertiary care public hospital in a resource-limited setting. Design: Descriptive. Setting: Pediatric wards at the Kenyatta National Hospital in Nairobi, Kenya. Patients: Critically ill children admitted to the hospital. Interventions: A graduated approach to improving critical care capacity in a resource-limited setting. Measurements and Main Results: Pediatric mortality was tracked in the adult ICU and PICU following the engagement of a pediatric intensivist and creation of a critical care team. Mortality declined from 76.2% to 37.5% in the first 2 years of the new PICU. Conclusions: Caring for critically ill children in resource-limited setting presents many challenges. The stepwise approach described here has led to a nearly 50% reduction in mortality among critically ill children at Kenyatta National Hospital. It is a viable strategy to begin to address the disproportionate number of critically ill and injured children in resource-limited setting.
机译:目的:描述在资源有限的环境中改善第三级护理公立医院批评性儿童的努力。设计:描述性。环境:肯尼亚内罗毕肯尼亚国家医院的儿科病房。患者:危重儿童进入医院。干预:一种提高资源限制环境中临界护理能力的渐进方法。测量和主要结果:在接种儿科强度和创建关键护理团队后,在成人ICU和PICU中追踪儿科死亡率。在新PICU的前2年中,死亡率从76.2%下降到37.5%。结论:资源有限的环境中批评儿童的关怀呈现许多挑战。这里描述的逐步方法导致了肯尼亚国家医院的批评性儿童中的死亡率降低了近50%。开始解决资源有限的环境中批评性和受伤儿童的不成比例的不成比例,是一种可行的策略。

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