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儿童感染性休克登记最小数据集的开发与验证:一项描述性横断面研究

Development and Validation of a Minimum Dataset for a Pediatric Septic Shock Registry: A Descriptive and Cross-Sectional Study.

作者信息

Shabani Fariba, Ahmadizadeh Seyedeh Narjes, Rahmatizadeh Shahabedin, Hashemi Seyedeh Masumeh, Rabiei Reza, Behzad Azita

机构信息

Department of Health Information Technology and Management, School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.

Department of Pediatric Intensive Care, Mofid Children's Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.

出版信息

Health Sci Rep. 2025 Jul 28;8(8):e71089. doi: 10.1002/hsr2.71089. eCollection 2025 Aug.

Abstract

BACKGROUND AND AIMS

Septic shock is the most severe form of sepsis in children, characterized by circulatory problems, cellular and metabolic damage, and a high risk of mortality. Managing data through a registry can enhance care and treatment follow-up. This study aimed to develop a minimum data set in line with developing a registry for pediatric septic shock in Iran.

METHODS

This descriptive and cross-sectional study was conducted in two phases in 2024. Initially, a literature search was conducted to extract the required data elements from the relevant studies. In the second step, the created minimum data set was validated through the Delphi technique involving ten clinicians. The inclusion criteria for data elements in the registry minimum data set were based on the level of agreement among the experts. Data were analyzed using SPSS 24 software and descriptive statistics.

RESULTS

The initial phase of the study involved categorizing 190 data elements into 13 main classes and 27 subclasses. In the following step, after validating these elements using the Delphi technique, 183 data elements were included as the required data items of the minimum data set based on experts' opinion.

CONCLUSION

This study provides a minimum data set for development of a pediatric septic shock registry. Standardizing data collection in this area is essential for comprehensively understanding septic shock in children. This, in turn, will assist policymakers, planners, researchers, and healthcare providers in developing effective care plans.

摘要

背景与目的

感染性休克是儿童脓毒症最严重的形式,其特征为循环问题、细胞及代谢损伤以及高死亡风险。通过登记系统管理数据可加强护理和治疗随访。本研究旨在制定一个符合伊朗儿童感染性休克登记系统开发的最小数据集。

方法

这项描述性横断面研究于2024年分两个阶段进行。首先,进行文献检索以从相关研究中提取所需数据元素。第二步,通过德尔菲法让十名临床医生对创建的最小数据集进行验证。登记系统最小数据集数据元素的纳入标准基于专家之间的一致程度。使用SPSS 24软件和描述性统计方法对数据进行分析。

结果

研究的初始阶段将190个数据元素分为13个主要类别和27个子类别。在接下来的步骤中,使用德尔菲法对这些元素进行验证后,根据专家意见,183个数据元素被纳入作为最小数据集的所需数据项。

结论

本研究为儿童感染性休克登记系统的开发提供了一个最小数据集。在该领域规范数据收集对于全面了解儿童感染性休克至关重要。这反过来将有助于政策制定者、规划者、研究人员和医疗服务提供者制定有效的护理计划。

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