儿科危重病后整体健康状况：工具和方法的范围综述。
Overall Health Following Pediatric Critical Illness: A Scoping Review of Instruments and Methodology.
机构信息
Division of Critical Care Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
出版信息
Pediatr Crit Care Med. 2021 Dec 1;22(12):1061-1071. doi: 10.1097/PCC.0000000000002800.
OBJECTIVES
Families identify overall health as a key outcome after pediatric critical illness. We conducted a planned secondary analysis of a scoping review to determine the methods, populations, and instruments used to evaluate overall health outcomes for both children and their families after critical illness.
DESIGN
Planned Secondary Analysis of a Scoping Review.
SETTING
We searched PubMed, EMBASE, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Controlled Trials Registry databases from 1970 to 2017 to identify studies which measured postdischarge overall health of children who survived critical illness and their families.
SUBJECTS
Articles reporting overall health outcomes after pediatric critical illness.
INTERVENTIONS
None.
MEASUREMENTS AND MAIN RESULTS
Among the 407 articles which measured outcomes following pediatric critical illness, 161 (40%) measured overall health. The overall health domain was most commonly measured in traumatic brain injury (44%) and the general PICU populations (16%). In total, there were 39 unique measures used to evaluate overall health. Across all subjects, seven measures accounted for 89% of instruments, with the Glasgow Outcome Scale (47%) and the Pediatric Overall Performance Category (17%) being most commonly used. Excluding studies targeting survivors of traumatic brain injury, Pediatric Overall Performance Category, Glasgow Outcome Scale, and the General Health Questionnaire were the most commonly used instruments. Patients were followed for a median 10.5 months (interquartile range, 4.5-21 mo).
CONCLUSIONS
Overall health was commonly assessed post-PICU discharge, especially in the traumatic brain injury population, using a heterogenous array of measures. Evaluation and consensus are imperative to identify the most appropriate method to measure overall health with the goal of improving care efficacy and facilitating recovery across populations of critically ill children.
目的
家庭将整体健康视为儿科危重病后关键的结果。我们对范围综述进行了计划中的二次分析，以确定用于评估儿童及其家庭在危重病后整体健康结果的方法、人群和工具。
设计
范围综述的计划二次分析。
设置
我们在 1970 年至 2017 年期间，在 PubMed、EMBASE、PsycINFO、护理学和联合健康文献累积索引和 Cochrane 对照试验注册数据库中进行了检索，以确定测量患有危重病存活儿童及其家庭出院后整体健康状况的研究。
受试者
报告儿科危重病后整体健康结果的文章。
干预措施
无。
测量和主要结果
在测量儿科危重病后结果的 407 篇文章中，有 161 篇（40%）测量了整体健康。整体健康领域最常测量的是创伤性脑损伤（44%）和普通儿科重症监护病房人群（16%）。总共使用了 39 种独特的方法来评估整体健康。在所有受试者中，有七种测量方法占了 89%的工具，其中格拉斯哥结局量表（47%）和儿科总体表现类别（17%）最常用。排除针对创伤性脑损伤幸存者的研究，儿科总体表现类别、格拉斯哥结局量表和一般健康问卷是最常用的工具。患者的中位随访时间为 10.5 个月（四分位距，4.5-21 个月）。
结论
整体健康在儿科重症监护病房出院后经常得到评估，特别是在创伤性脑损伤人群中，使用了多种不同的测量方法。评估和共识对于确定最适当的方法来测量整体健康至关重要，目的是提高危重病儿童人群的护理效果并促进其康复。
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