Epidemiology of Death in the PICU of Southeast China
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,000
- 试验地点
- 1
- 主要终点
- Pediatric Risk of Mortality score (PRISM III)
研究概览
简要总结
With the development of national economy and medical technology, patients can extend life rely on high-end medical facilities. At the same time, the continued treatment cannot bring benefits to children, even resulting in poor quality of life of children and bringing high medical costs. This makes the limited medical resources are unreasonable distributed. Research showed that PICU mortality rate halved over ten years ago, but the data did not include death cases who left hospital before death. However, the death number of out-hospital were more than death in-hospital. Therefore, the data cannot actually reflect China's mortality rate of PICU. The reason analysis was limited to the cause of the disease, and does not take the social, economic factors into account. This study include eight PICUs of children's Hospital PICU. Critically ill patients are prospectively studied from death risk factors, admission status, disease diagnosis, severity of illness, analyzing of the risk factors of death from disease diagnosis and death risk factors. In addition, we will illuminate the relationship of death and economic factor, especially for who died out-hospital after withdraw or stop treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 29 Days 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ALL patients admitted to the PICU of eight study centers
排除标准
- •Postoperative monitoring of patients with stable hemodynamics
- •PCIS score >90 and not up to the United States PICU admission standards
结局指标
主要结局
Pediatric Risk of Mortality score (PRISM III)
时间窗: 24 hours
Pediatric logistic organ dysfunction (PELOD) score
时间窗: 24hour
Pediatric Critical Illness Score(PCIS)
时间窗: first 24 hours after admission
次要结局
- all cause mortality(one year)
研究者
Guoping Lu
Director of pediatric Emergency and Critical Care Center. Children's Hospital Fudan University;Director of AHA Training Center for pediatric life support. Children's Hospital Fudan University
Children's Hospital of Fudan University
