儿童宫内接触阿片类药物后的初级保健诊断。
Pediatric Primary Care Diagnoses Among Children with Intrauterine Opioid Exposure.
出版信息
J Health Care Poor Underserved. 2023;34(1):161-179. doi: 10.1353/hpu.2023.0011.
BACKGROUND AND OBJECTIVES
Characterizing common concerns for children with intrauterine opioid exposure (IOE) can inform tailored primary care.
METHODS
Retrospective analysis of primary care data of children with IOE from birth to age two years within one multi-state pediatric health system. Well child care (WCC) and problem-based visit diagnoses were categorized, and descriptive statistics were tabulated.
RESULTS
Three hundred and eighty-five (385) children with IOE had 3,622 primary care visits, of which 51.4% were WCC and 48.6% were problem-based. Most frequent visit diagnoses were upper respiratory complaints (14.8% of visits), feeding difficulties (12.2%), and perinatal viral exposure (9.8%). Although visit type (WCC vs. problem-based) varied across diagnostic category, frequent utilization of both visit types were documented for several diagnoses in infancy (e.g., fussiness/colic, feeding difficulties).
CONCLUSIONS
Well child care visits for children with IOE are key opportunities for anticipatory guidance with an emphasis on problems that may contribute to acute health care utilization, particularly in early infancy.
背景和目的
描述宫内接触阿片类药物（IOE）的儿童的常见关注点，可以为量身定制的初级保健提供信息。
方法
对一个多州儿科医疗系统中从出生到两岁的 IOE 儿童的初级保健数据进行回顾性分析。对常规儿童保健（WCC）和基于问题的就诊诊断进行分类，并列出描述性统计数据。
结果
385 名 IOE 儿童共进行了 3622 次初级保健就诊，其中 51.4%为 WCC，48.6%为基于问题的就诊。最常见的就诊诊断是上呼吸道投诉（占就诊的 14.8%）、喂养困难（12.2%）和围产期病毒暴露（9.8%）。尽管就诊类型（WCC 与基于问题的就诊）因诊断类别而异，但在婴儿期的几个诊断中，两种就诊类型的就诊都很频繁（例如，烦躁/绞痛、喂养困难）。
结论
IOE 儿童的常规儿童保健就诊是进行预期指导的重要机会，重点是可能导致急性医疗保健利用的问题，特别是在婴儿早期。
Zotero 插件