发病率：改变儿科重症监护的结局模式
Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care.
作者信息
Heneghan Julia A, Pollack Murray M
机构信息
Critical Care Medicine, Children's National Health System, 111 Michigan Avenue Northwest, Washington, DC 20010, USA.
Critical Care Medicine, Children's National Health System, 111 Michigan Avenue Northwest, Washington, DC 20010, USA; Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Critical Care Medicine, Children's National Health system, 111 Michigan Avenue Northwest, Washington, DC 20010, USA.
出版信息
Pediatr Clin North Am. 2017 Oct;64(5):1147-1165. doi: 10.1016/j.pcl.2017.06.011.
The focus of critical care has evolved from saving lives to preservation of function. Morbidity rates in pediatric critical care are approximately double mortality rates. Morbidity includes complications of disease and medical care. In pediatric critical care, functional status morbidity is an intermediate outcome in the progression toward death and is the result of the same factors associated with mortality, including physiologic profiles and case-mix factors. The Functional Status Scale developed by Collaborative Pediatric Critical Care Research Network is a validated, granular, age-independent measure of functional status that has proved valuable and practical even in large outcome studies.
重症监护的重点已从挽救生命转变为功能的保留。儿科重症监护中的发病率约为死亡率的两倍。发病率包括疾病和医疗护理的并发症。在儿科重症监护中，功能状态发病率是死亡进程中的一个中间结果，并且是与死亡率相关的相同因素导致的，包括生理特征和病例组合因素。由儿科重症监护协作研究网络开发的功能状态量表是一种经过验证的、细致的、与年龄无关的功能状态测量方法，即使在大型结局研究中也已证明其具有价值和实用性。
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