Value of pediatric critical score in evaluation of prognosis of children in pediatric intensive care unit
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摘要: 目的 研究小儿危重评分评估儿科重症监护病房(PICU)儿童预后情况的价值。 方法 回顾性分析本院PICU收治的80例患儿的临床资料,根据患儿入院24 h时危重评分情况分为A组(极危重患儿)、B组(危重患儿)、C组(非危重患儿)。比较3组患儿PICU住院时间、抢救次数、多器官功能衰竭(MOSF)发生率、功能衰竭脏器个数、并发症发生率情况及28 d死亡率。 结果 A组PICU住院时间、抢救次数、MOSF发生率、功能衰竭脏器个数、并发症发生率、28 d死亡率均优于B组和C组(P<0.05); B组以上指标优于C组(P<0.05)。 结论 小儿危重评分在PICU儿童病情严重程度及预后情况均有一定预测价值,临床工作中需加强对危重评分患儿的监护和相关护理,以减少病死率。Abstract: Objective To study the value of pediatric critical score in evaluating the prognosis of children in pediatric intensive care unit(PICU). Methods The clinical data of 80 cases in PICU treated in our hospital were retrospectively analyzed. The children were divided into group A(extremely critical children), group B(critical children)and group C(non-critical children)according to the critical score at 24 hours after admission. The hospitalization time, rescue times, the incidence of multiple organ failure(MOSF), the number of organs with functional failure, the incidence of complications and the 28-day mortality rate were compared among the three groups. Results The hospitalization time in PICU, rescue times, incidence of MOSF, number of organs with functional failure, incidence of complications and 28-day mortality in group A were higher than those in group B and C(P<0.05), and group B was better than group C in above indicators(P<0.05). Conclusion Children's critical score is of great value in prediction of the severity and prognosis of PICU children. It is necessary to strengthen the monitoring of children with critical score and related nursing in clinical work in order to reduce the mortality rate.
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