查詢結果分析
相關文獻
- Factors Affecting the Mortality of Sick Newborns Admitted to intensive Care Units
- Comparison of the Outcome of Extremely-Low-Birth-Weight Infants between Two Periods
- 精神科專科醫院急性住院患者之死亡率
- 臺灣地區死亡率現況的實證研究
- 機動車事故傷害發生地、死亡地與戶籍地關係之初探:花東經驗
- 我國出生通報制度建立後對嬰兒死亡率之影響分析
- 臺灣歷史上的疾病與死亡
- 磷胺化合物處理材之抗白蟻性
- 三十五年來臺灣兒童的健康水平
- Estimation the Stock Size and Fishing Mortality of Sakura Shrimp, Sergia Iucens Hansen, Off Southwestern Taiwan with Leslie's Method
頁籤選單縮合
題 名 | Factors Affecting the Mortality of Sick Newborns Admitted to intensive Care Units=影響住入加護病房重病新生兒死亡的因素 |
---|---|
作 者 | 鄒國英; 許瓊心; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 40:2 民88.03-04 |
頁 次 | 頁75-82+136 |
分類號 | 417.517 |
關鍵詞 | 新生兒加護照顧; 死亡率; 孕婦轉診; 新生兒轉診; 區域層級化; Neonatal intensive care; mortality; Maternal transport; Neonatal Transpotr; Regionalization; |
語 文 | 英文(English) |
中文摘要 | 為要了解在大台北地區影響住入加護病房新生兒死亡的因素,而依照顧病人的醫院層級進 行一回顧性的資料分析。大台北地區共有19間醫院設有新生兒或小兒加護病房,其中14間加入此 一資料登錄:3間為地方醫院,7間為區域醫院,4間為醫學中心。針對1083個病重新生兒的周產 期及新生兒資料加以分析,其中60%為早產兒,58%為男嬰。母親轉診率為7.8%,新生兒轉診率為 36.2%。59%的極低出生體重兒(出生體重不足1500公克)及66%的超低出生體重兒(出生體重不 足1000公克)是在醫學中心治療的。50.9%的母親有高危險妊娠因素,11.4%出現胎兒窘迫,51.2% 是以開刀方式生產,36.4%在產房內需用到氧氣吸入外的急救方法。此些病重新生兒最常見的問題 為周產期窒息、呼吸窘迫症、先天性心臟病、胎便吸入症候群及敗血症,40%需使用呼吸器治療。 住入醫學中心的病重新生兒與住入其它兩類型醫院的病重新生兒相較,其孕婦轉診、胎兒窘迫、產 房內急救、周產期窒息及壞死性腸炎的發生率較高,而胎便吸入症候群、敗血症及氣胸的發生率較 低。地區醫院的新生兒轉診率較其它醫院為高。153個嬰兒死亡(14.4%),最常見的死因為敗血症 (22.9%)。 在多變項分析結果顯示和嬰兒死亡相關的因素為妊娠週數不足28週、先天性異常、敗血症、出 生時需急救、新生兒轉診、先天性心臟病、醫院層級、超低出生體重兒,氣胸及高危險妊娠。此一 研究結果顯示為要進一步降低大台北地區病重新生兒的死亡率,需要良好規劃周產期及新生兒之照 顧體系、組織新生兒轉診系統、加強新生兒急救訓練、感染控制及精緻的呼吸治療照護。 |
英文摘要 | In order to provide better understanding of the factors affection the mortality of sick newborns in the Taipei metropolitan area, data of newborns admitted th the intensive care units (ICU) were analyzed retrospectively according to the hospital type of care. Fourteen of the 19 hospitals with an ICU admitting sick newborns joined the data collection: 3 were local hospital, 7 were regional hospitals and 4 were medical centers. Perinatal and neonatal data of 1083 sick newborns were analyzed: 60% were premature newborns and 58% were male newborns. The maternal referral rate was 7.8% and the neonatal transport rate was 36.2%. Fifty-nine percent of very low birth-weight newborns and 66% of extremely low birth-weight (ELBW) newborns were admitted to the medical centers. The two most common illnesses were perinatal asphyxia and respiratory distress syndrome. About 40% needed assisted ventilation. There were higher incidence of maternal referral, fetal distress, resuscitation in the delivery room, perinatal asphyxia, and necrotizing enterocolitis: lower incidence of meconium aspiration syndrome, sepsis and pneumothorax in newborns admitted to the medical center than those newborns admitted to other hospitals. A total of 153 newborns (14%) died. The most common cause of death was sepsis (22.9%). Multivariate logistic regression analysis revealed that factors significantly related to the mortality were gestational age < 28 weeks, congenital anomaly, sepsis, resuscitation in the delivery room, neonatal transport, congenital heart disease, hospital type of care, ELBW, pneumothorax and high-risk pregnancy. The results of the study stress the importance of regionalization of perinatal and neonatal care, organization of neonatal transport system, newborn resucitation training, infection control, and delicate ventilatory care in the further improvement of the outcome of sick newborns in the Taipei metropolitan area. |
本系統中英文摘要資訊取自各篇刊載內容。