儿科重症监护病房罕见的医学法律案例

Serbülent Kılıç, Arzu Oto
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MLCs were classified into nine groups, including Foreign Body Aspiration (FBA), Blunt Trauma (BT), Asphyxia (ASP), Firearm Injury (FI), Sharp and Penetrating Object Injury (SPOI), Electric Injury (EI), Sports-Related Injury (SRI), Animal Bite Injury (ABI), and Home Accident (HA). Results: Foreign Body Aspiration (FBA) was the most prevalent type of MLC in this study (29.1%). The average hospital stay for FBA cases in the general ward was 3 days (range: 1-11 days), and in the Pediatric Intensive Care Unit was 2 days (range: 1-8 days). Blunt Trauma (BT) cases had an average hospital stay of 4 days (range: 1-12 days) in the general ward and 3 days (range: 1-10 days) in the Pediatric Intensive Care Unit. Surgical intervention was required for 29.1% of patients (n=14). The mean cost of treating a case in our study was calculated to be 5744 ₺ (approximately US$308.57). The majority of MLCs were attributed to FBA (n=14, 43%), followed by BT (n=9, 18%), and ASP (n=8, 16%). 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摘要

目的:虽然儿科重症监护病房收治的多种危及生命的疾病(MLCs)是一个巨大的医疗负担,但这些病例的危险因素、流行病学数据和临床表现尚未得到系统和全面的记录。材料和方法:本研究于2017年1月1日至2022年1月1日在土耳其Bursa Yuksek Ihtisas培训和研究医院的儿科重症监护室进行。男性31例(35.4%),女性17例(64.6%),平均年龄4.7±4.1岁。MLCs分为9组,分别为异物吸入(FBA)、钝性损伤(BT)、窒息(ASP)、火器伤(FI)、锐器穿透伤(SPOI)、电伤(EI)、运动相关伤(SRI)、动物咬伤(ABI)和家庭意外伤(HA)。结果:异物吸入(FBA)是本研究中最常见的MLC类型(29.1%)。FBA病例在普通病房的平均住院时间为3天(范围:1-11天),在儿科重症监护病房的平均住院时间为2天(范围:1-8天)。钝性创伤(BT)病例在普通病房的平均住院时间为4天(范围:1-12天),在儿科重症监护室的平均住院时间为3天(范围:1-10天)。29.1%的患者(n=14)需要手术干预。在我们的研究中,治疗一个病例的平均费用为5744元(约308.57美元)。大多数MLCs归因于FBA (n= 14,43%),其次是BT (n= 9,18%)和ASP (n= 8,16%)。结论:多种危及生命的疾病(MLCs)在儿科重症监护室占主导地位,其中异物吸入(FBA)是最常见的原因,强调了提高认识和预防工作的必要性。了解与这些病例相关的风险因素、临床表现和医疗费用对于医疗保健专业人员和政策制定者降低MLCs发病率至关重要。
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Rare Medico Legal Cases of Pediatric Intensive Care Unit
Objective: While Multiple Life-threatening Conditions (MLCs) admitted to the Pediatric Intensive Care Unit represent a substantial healthcare burden, the risk factors, epidemiological data, and clinical manifestations of these cases have yet to be systematically and comprehensively documented. Material and Methods: This study was conducted in the Pediatric Intensive Care Unit at Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey, between January 1, 2017, and January 1, 2022. The study included 31 males (35.4%) and 17 females (64.6%) with an average age of 4.7 ± 4.1 years. MLCs were classified into nine groups, including Foreign Body Aspiration (FBA), Blunt Trauma (BT), Asphyxia (ASP), Firearm Injury (FI), Sharp and Penetrating Object Injury (SPOI), Electric Injury (EI), Sports-Related Injury (SRI), Animal Bite Injury (ABI), and Home Accident (HA). Results: Foreign Body Aspiration (FBA) was the most prevalent type of MLC in this study (29.1%). The average hospital stay for FBA cases in the general ward was 3 days (range: 1-11 days), and in the Pediatric Intensive Care Unit was 2 days (range: 1-8 days). Blunt Trauma (BT) cases had an average hospital stay of 4 days (range: 1-12 days) in the general ward and 3 days (range: 1-10 days) in the Pediatric Intensive Care Unit. Surgical intervention was required for 29.1% of patients (n=14). The mean cost of treating a case in our study was calculated to be 5744 ₺ (approximately US$308.57). The majority of MLCs were attributed to FBA (n=14, 43%), followed by BT (n=9, 18%), and ASP (n=8, 16%). Conclusion: The predominance of Multiple Life-threatening Conditions (MLCs) in the Pediatric Intensive Care Unit, with Foreign Body Aspiration (FBA) being the most common cause, underscores the need for heightened awareness and prevention efforts. Understanding the risk factors, clinical presentations, and healthcare costs associated with these cases is essential for healthcare professionals and policymakers in their pursuit of reducing the incidence of MLCs.
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