患儿因呼吸道疾病再入院的相关因素分析

目的 调查儿童因呼吸道疾病再入院的相关因素,提高医护人员对再入院的认识,为有针对性地进行医护干预、降低其再入院率提供理论依据.方法 采用系统回顾1:1病例对照研究的方法,收集215例对照组患者临床资料,进行统计分析.结果 基础疾病OR值37.119是最主要的危险因素,合并症OR值4.55是次要的危险因素.早产、先天性心脏病和先天性呼吸道畸形的再入院风险分别是无基础疾病的5.8,35.1和41倍;百日咳综合症、肝损害、巨细胞病毒感染病例的再入院风险分别是无并发病例的3.2、4.4和17.5倍.结论 基础疾病是影响儿童31d内再入院的最主要的危险因素,因先天性呼吸道畸形和先天性心脏病再入院风险增高.

Objective To study related causes of children's readmission for respiratory diseases,in order to improve the recognition of medical personnel for readmission,provide theoretical basis for performing medical and nursing interventions pertinently,and reduce the readmission rate.Methods A case control study was conducted by a retrospecrive analysis.Clinical data of 215 pairs were collected,then,statistically analyzed.Results According to the value of OR,chronic condition indicator(OR37.119)were the most important risk factors,while complications(OR4.55)were secondary factors.Readmission risks of premature birth,congenital heart disease and congenital malfbmiations of respiratory tracts were 5.8,35.1 and 41 times respectively as high as patients who suffered no underlying disease.Readmission risks of cases with pertussis syndrome,hepatic lesion and cytomegalovirus infection were 3.2,4.4 and 17.5 times respectively as high as patients without complications.Conclusion Underlying diseases are leading risk factors that lead to children's readmissions within 31 days and NKs are protective factors.Read mission risks of congenital malformations of respiratory tracts and congenital heart disease and were higher.