儿童下呼吸道感染31天内非计划再入院的危险因素分析及防控对策  

Analysis of risk factors and prevention and control strategies for unplanned readmission of children with lower respiratory tract infection within 31 days

作　　者：陈玲玲[1] 金小红[1] 胡文辉[1] CHEN Lingling;JIN Xiaohong;HU Wenhui(Department of Pediatrics,Taizhou Hospital of Zhejiang Province,Linhai 317000,China)

机构地区：[1]浙江省台州医院儿内科,浙江临海317000

出　　处：《健康研究》2022年第4期446-450,共5页Health Research

基　　金：台州市科技计划项目(1801ky21)。

摘　　要：目的探讨儿童下呼吸道感染(lower respiratory tract infection,LRTI)31天内非计划再入院的危险因素,提出相应防控对策。方法回顾8356例儿童LRTI的住院病例,采用单因素分析和多因素Logistic回归分析筛选LRTI患儿31天内非计划再入院的高危因素。结果8356例患儿31天内非计划再入院率为3.72%,其中以婴儿期所占比例(63.67%)最高。再入院组的第1次住院天数多于非再入院组,差异有统计学意义(χ^(2)=2.004,P<0.05);Logistic回归分析结果显示,合并有基础疾病(早产、先天性气道畸形)、密切接触者的感染、住院天数≥7 d是儿童下呼吸道感染非计划再入院的危险因素(P<0.05)。结论LRTI出院患儿存在31天内非计划再入院的风险,尤其是有基础疾病(早产、先天性气道畸形)、密切接触者感染、住院天数长的儿童。建议合理掌握出院指征,关注高风险的LRTI出院患儿,积极采取有效干预措施,降低非计划再入院率。Objective To explore the risk factors of unplanned readmission of children with lower respiratory tract infection(LRTI)within 31 days and put forward corresponding prevention and control countermeasures.Methods A retrospective study of 8356 hospitalized children with LRTI was conducted.Univariate and multivariate logistic regression analyses were used to screen the high-risk factors for unplanned readmission of LRTI children within 31 days.Results The unplanned readmission rate of 8356 children within 31 days was 3.72%,of which the highest proportion was in infancy(63.67%).The first hospitalization days in the readmission group were more than those in the non-readmission group,and the difference was statistically significant(χ^(2)=2.004,P<0.05).Logistic regression analysis showed that the risk factor for unplanned readmission of children with lower respiratory tract infection was the combination of primary diseases(premature birth,congenial airway malformation),infection of close contacts,and hospitalization days≥7 days(P<0.05).Conclusions Children discharged from LRTI risk unplanned readmission within 31 days,especially those with primary diseases(premature birth,congenital airway malformation),close contact infection,and extended hospital stay.It is suggested to reasonably master the discharge indications,pay attention to the discharged children with high-risk LRTI,and actively take effective intervention measures to reduce the unplanned readmission rate.

关 键 词：儿童 下呼吸道感染 再入院 危险因素 防控对策 

分 类 号：R725.6[医药卫生—儿科]