儿科危急值：检验科与儿科医生的对话
Pediatric critical values: laboratory-pediatrician discourse.
作者信息
Don-Wauchope Andrew C, Wang Li, Grey Vijaylaxmi
机构信息
Department of Pathology and Molecular Medicine, McMaster University and Hamilton Regional Laboratory Medicine Program, 1200 Main Street West, Hamilton, Ontario, Canada.
出版信息
Clin Biochem. 2009 Nov;42(16-17):1658-61. doi: 10.1016/j.clinbiochem.2009.06.029. Epub 2009 Jul 15.
OBJECTIVES
To review pediatric critical values after consultation with departmental pediatricians.
METHODS
An electronic survey with the critical value list of 26 high or low abnormal chemistry laboratory values of 12 analytes was circulated to pediatricians. The survey results were presented to a focus group of 3 pediatricians for comments and review.
RESULTS
Thirty-one of 125 pediatricians affiliated with the Department of Pediatrics responded. Sixteen of 26 (61.5%) current values met the agreement criteria. The procedures for calling high glucose levels in neonates and children, and the low magnesium and low ionized calcium critical values were revised after discussion with the focus group.
CONCLUSIONS
This survey among the hospital's pediatricians resulted not only in a revised list of critical values, but also the procedure for calling the user. The use of unique critical values for different areas of clinical practice within the children's hospital was identified as an area for future development.
目的
与儿科医生协商后回顾儿科危急值。
方法
向儿科医生发放一份包含12种分析物的26个高或低异常化学实验室值危急值列表的电子调查问卷。调查结果提交给由3名儿科医生组成的焦点小组以征求意见和进行审核。
结果
隶属于儿科的125名儿科医生中有31名做出回应。26个当前值中有16个（61.5%）符合一致标准。与焦点小组讨论后，修订了新生儿和儿童高血糖水平以及低镁和低离子钙危急值的报告程序。
结论
此次针对医院儿科医生的调查不仅得出了修订后的危急值列表，还得出了报告程序。确定在儿童医院不同临床实践领域使用独特的危急值是未来发展的一个领域。
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