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吉隆坡一家三级医院的儿科住院情况——设立短期病房的理由。

Paediatric admissions at a tertiary hospital in Kuala Lumpur--a case for a short-stay ward.

作者信息

Chong L A, Lee W S, Goh A Y

机构信息

Department of Paediatrics, University of Malaya Medical Center, 50603 Kuala Lumpur.

出版信息

Med J Malaysia. 2003 Mar;58(1):89-93.

PMID:14556330
Abstract

The profile of admissions staying less than 24 hours admitted to the paediatric wards of University Malaya Medical Center, Kuala Lumpur, over a period of six weeks was reviewed to ascertain the need of a short-stay ward. Ninety-three (22%) of the 428 admissions admitted during the study period were discharged within 24 hours, 56 (60%) were discharged within 12 hours. Major categories of admissions were: elective investigative procedures (43%), and emergency admissions (44%). Reasons for emergency admissions: infections 42%, minor trauma/cerebral concussion 25% and febrile/afebrile seizures 11%. Only 20% required percutaneous oximetry monitoring and 2% required observations more frequently than 2 hourly. There may be a case for a short stay ward in a big paediatric unit in Malaysia.

摘要

对吉隆坡马来亚大学医学中心儿科病房六周内住院时间少于24小时的入院情况进行了回顾,以确定设立短期病房的必要性。在研究期间收治的428例患者中,有93例(22%)在24小时内出院,56例(60%)在12小时内出院。主要入院类别为:择期检查程序(43%)和急诊入院(44%)。急诊入院原因:感染42%,轻度创伤/脑震荡25%,发热/无热惊厥11%。只有20%的患者需要经皮血氧饱和度监测,2%的患者需要每两小时更频繁地进行观察。马来西亚大型儿科病房可能需要设立短期病房。

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