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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Characteristics associated with pediatric inpatient death.
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Characteristics associated with pediatric inpatient death.

机译：与小儿住院死亡相关的特征。

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OBJECTIVE: The primary objective of this study was to obtain a broad understanding of inpatient deaths across academic children's hospitals. METHODS: A nonconcurrent cohort study of children hospitalized in 37 academic children's hospitals in 2005 was performed. The primary outcome was death. Patient characteristics including age, gender, race, diagnostic grouping, and insurance status and epidemiological measures including standardized mortality rate and standardized mortality ratios (SMRs) were used. RESULTS: A total of 427 615 patients were discharged during the study period, of whom 4529 (1.1%) died. Neonates had the highest mortality rate (4.03%; odds ratio: 8.66; P < .001), followed by patients >18 years of age (1.4%; odds ratio: 2.86; P < .001). The SMRs ranged from 0.46 (all patient-refined, diagnosis-related group 663, other anemias and disorders of blood) to 30.0 (all patient-refined, diagnosis-related group 383, cellulitis and other bacterial skin infections). When deaths were compared according to institution, there was considerable variability in both the number of children who died and the SMRs at those institutions. CONCLUSIONS: Patient characteristics, such as age, severity, and diagnosis, were all substantive factors associated with the death of children. Opportunities to improve the environment of care by reducing variability within and between hospitals may improve mortality rates for hospitalized children.
机译：目的：本研究的主要目的是广泛了解学龄儿童医院的住院死亡人数。方法：2005年对37家学术儿童医院住院的儿童进行了非同期队列研究。主要结果是死亡。使用了包括年龄，性别，种族，诊断分组和保险状况在内的患者特征，以及包括标准化死亡率和标准化死亡率（SMR）在内的流行病学措施。结果：在研究期间，共有427 615例患者出院，其中4529例（1.1％）死亡。新生儿死亡率最高（4.03％;优势比：8.66; P <.001），其次是年龄大于18岁的患者（1.4％;优势比：2.86; P <.001）。 SMR的范围从0.46（所有与患者相关的，与诊断有关的贫血，血液贫血和疾病相关的人群）至30.0（与所有与患者相关的，与诊断有关的贫血，疾病相关的疾病，383蜂窝组织炎和其他细菌性皮肤感染）。根据机构对死亡进行比较时，这些机构中死亡的儿童人数和SMR均存在很大差异。结论：患者的特征，例如年龄，严重程度和诊断，都是与儿童死亡有关的实质性因素。通过减少医院内部和医院之间的差异来改善护理环境的机会可能会提高住院儿童的死亡率。

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