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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Low-Risk Pediatric Critical Care Patients, Are They Really a Different Population?
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Low-Risk Pediatric Critical Care Patients, Are They Really a Different Population?

机译：低风险的儿科关键护理患者，他们真的是不同的人口吗？

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摘要

In this issue of Pediatric Critical Care Medicine, Verlaat et al demonstrate that complex chronic conditions (CCC) and unplanned admissions are recognizable factors associated with mortality in low-risk pediatric critical care patients. Authors designed a retrospective cohort study based on a national registry that includes all eight of the Netherlands' PICU. The population studied was low-mortality risk patients admitted between January 2006 and January 2012. Low-mortality risk patients were defined as those with a predicted mortality less than 1% according to either recalibrated Pediatric Risk of Mortality (PRISM) II or Pediatric Index of Mortality 2 (PIM2) scores. Independent variables were described with precision, mainly CCC, which were denned according to established criteria. Differences between survivors and nonsurvivors were initially explored in a univariable analysis. Associations between independent variables and mortality were then analyzed in a multivariable logistic regression model. A total of 16,874 patients, 54.8% of all Dutch PICU admissions, had a low predicted mortality risk and they constituted the studied population. From these patients, 86 (0.5%) died.
机译：在这一问题的儿科关键护理医学中，Verlaat等人证明了复杂的慢性病（CCC）和计划生意外入学是与低风险儿科关键护理患者死亡率相关的可识别因素。作者设计了一种基于国家登记处的回顾性队列研究，包括荷兰所有八所荷兰的PICU。研究的人口是2006年1月至2012年1月期间录取的低死亡率风险患者。低死亡率风险患者被定义为根据重新校准死亡率（棱镜）II或儿科指数的重新校准儿科危险的预测死亡率低于1％死亡率2（PIM2）分数。根据既定标准，主要用精度，主要是CCC进行精度，主要是CCC的独立变量。最初在一个直立的分析中探讨了幸存者和非救援人员之间的差异。然后在多变量的逻辑回归模型中分析独立变量和死亡之间的关联。共有16,874名患者，占荷兰普鲁的54.8％，预测死亡率低，他们构成了研究人口。从这些患者中，86（0.5％）死亡。

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