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危重症儿童和新生儿管理与结局的健康差异:范围综述。

Health Disparities in the Management and Outcomes of Critically Ill Children and Neonates: A Scoping Review.

机构信息

Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Ninth Floor, Room 9NW102, Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA; Department of Anesthesiology and Critical Care, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA; Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Ninth Floor, Suite 9NW45, Philadelphia, PA 19104, USA.

出版信息

Crit Care Clin. 2024 Oct;40(4):641-657. doi: 10.1016/j.ccc.2024.05.002. Epub 2024 Jun 22.

Abstract

To date, health disparities in critically ill children have largely been studied within, not across, specific intensive care unit (ICU) settings, thus impeding collaboration which may help advance the care of critically ill children. The aim of this scoping review is to summarize the literature intentionally designed to examine health disparities, across 3 primary ICU settings (neonatal ICU, pediatric ICU, and cardiac ICU) in the United States. We included over 50 studies which describe health disparities across race and/or ethnicity, area-level indices, insurance status, socioeconomic position, language, and distance.

摘要

迄今为止,危重病儿童的健康差异主要在特定的重症监护病房 (ICU) 内进行研究,而不是在不同 ICU 间进行研究,这阻碍了可能有助于改善危重病儿童护理的合作。本范围综述的目的是总结旨在检查美国 3 个主要 ICU 环境(新生儿 ICU、儿科 ICU 和心脏 ICU)中健康差异的文献。我们纳入了 50 多项研究,这些研究描述了在种族和/或民族、地区指数、保险状况、社会经济地位、语言和距离方面的健康差异。

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