O'Malley Meghan, Hutcheon R Gordon
California Pacific Medical Center, San Francisco, CA, USA.
J Am Med Dir Assoc. 2007 Jun;8(5):332-4. doi: 10.1016/j.jamda.2007.02.008.
The objective of this study was to gain insight into the contribution of genetic disorders and congenital malformations to residents of a pediatric long-term care and rehabilitation center.
Record review.
The setting was a 136-bed long-term care and rehabilitation center in New York City.
Participants were residents who spent 1 day or longer as in-patients at the center over a 1-year period of time.
Resident diagnoses were categorized as problems with known genetic basis, problems with presumed genetic basis, acquired disorders with genetic predisposition, contiguous gene syndromes, multiple congenital anomalies, prematurity, cerebral palsy, hypoxic ischemic encephalopathy, conditions with unknown etiology, and defined conditions without genetic basis. The percentage of individuals with genetic disorders and/or congenital malformations was determined.
Genetic disorders and congenital anomalies were responsible for 50% of overall admissions and 60% of end-of-life care admissions to a pediatric long-term care center.
An understanding of the contribution of genetic disorders and congenital malformations can assist long-term care administrators as they plan for the needs of their future residents.
本研究的目的是深入了解遗传疾病和先天性畸形对一家儿科长期护理与康复中心住院患者的影响。
记录回顾。
位于纽约市的一家拥有136张床位的长期护理与康复中心。
参与者为在一年时间里在该中心住院一天或更长时间的患者。
将患者诊断分为具有已知遗传基础的问题、推测具有遗传基础的问题、具有遗传易感性的后天性疾病、相邻基因综合征、多发性先天性异常、早产、脑瘫、缺氧缺血性脑病、病因不明的病症以及无遗传基础的明确病症。确定患有遗传疾病和/或先天性畸形的个体百分比。
遗传疾病和先天性异常占儿科长期护理中心总入院人数的50%，占临终护理入院人数的60%。
了解遗传疾病和先天性畸形的影响有助于长期护理机构管理人员规划未来患者的需求。
