Sims C, Stanley B, Milnes E
Department of Anaesthesia, Princess Margaret Hospital for Children and Health Information Centre, Department of Health and Institute for Child Health Research, Perth, Western Australia.
Anaesth Intensive Care. 2005 Oct;33(5):623-8. doi: 10.1177/0310057X0503300512.
We conducted a retrospective database search of the Hospital Morbidity Data System at the Health Department of Western Australia to determine the number of anaesthetics given to children aged 16 years or less in Western Australia over a twelve-month period. Information was also collected to assess the types of surgery for which anaesthesia was being provided, and the categories of hospital in which children were being anaesthetized. We found that 28,522 anaesthetics were given to 24,981 children, and 2,462 (9.9%) children had more than one anaesthetic. Five and a half percent of the children in Western Australia had an anaesthetic during the twelve months studied. The most common types of surgery were ear nose and throat (28% of anaesthetics), general (21%), dental/oral procedures (17%) and orthopaedic (15%). There was a bimodal distribution in the incidence of anaesthesia versus age, with peaks at 4 years and at 16 years. The most common category of hospital that children were anaesthetized in was private metropolitan (40%) followed by tertiary (38%), rural (14%) and public metropolitan (8%). One thousand, seven hundred and seven children aged less than one year were given an anaesthetic. These anaesthetics were most frequently given to children in tertiary hospitals (62%) followed by private metropolitan (30%), public metropolitan (6%) and rural hospitals (2%).
我们对西澳大利亚卫生部的医院发病率数据系统进行了回顾性数据库搜索，以确定在十二个月期间西澳大利亚16岁及以下儿童接受麻醉的数量。还收集了相关信息，以评估接受麻醉的手术类型，以及儿童接受麻醉的医院类别。我们发现，共对24,981名儿童实施了28,522次麻醉，其中2,462名（9.9%）儿童接受了不止一次麻醉。在研究的十二个月期间，西澳大利亚5.5%的儿童接受了麻醉。最常见的手术类型是耳鼻喉科（占麻醉次数的28%）、普通外科（21%）、牙科/口腔手术（17%）和骨科手术（15%）。麻醉发生率与年龄呈双峰分布，在4岁和16岁时出现峰值。儿童接受麻醉最常见的医院类别是私立都市医院（40%），其次是三级医院（38%）、农村医院（14%）和公立都市医院（8%）。1,707名一岁以下儿童接受了麻醉。这些麻醉最常施用于三级医院的儿童（62%），其次是私立都市医院（30%）、公立都市医院（6%）和农村医院（2%）。
