154: Risk Factors for Adverse Events Following Diagnostic Urethral Catheterization in the Pediatric Emergency Department
Notice bibliographique
Résumé
Urethral catheterization (UC) is widely performed to diagnose urinary tract infection (UTI) in febrile young children presenting to the emergency department (ED). However, little is known about risk factors associated with adverse events following this procedure. To determine risk factors for adverse events following diagnostic UC in the pediatric ED. This was a secondary analysis of a prospective cohort study conducted over a period of nine months in a tertiary care pediatric ED. Recruitment mainly occurred during week days from 9AM until 7PM. All children aged three to 24 month old with fever ≥38°C (≥100.4°F) and who had a diagnostic UC were invited to participate. Parents were contacted by phone seven to 10 days following the ED visit to answer a standardized questionnaire about adverse events potentially related to the procedure. Adverse event was prospectively defined as painful urination, genital pain, urinary retention, hematuria or UTI occurring secondary to UC. No sample size was calculated a priori because it was a secondary analysis of another study. Nonetheless, it was estimated that 40 participants experiencing at least one complication permitted to evaluate five risk factors (male sex, age, previous UC, hematuria at UC, final diagnosis of UTI). Univariate and multivariate analysis were used to calculate odds ratio (OR). 240 patients were invited to participate. Among them, 219 patients accepted and were included in the study with 20 (9%) lost to follow-up. Of the 199 patients who completed the study, 110 were females (55%) and the median age was 10 months. Overall, 41 (21%) patients experienced at least one adverse event. Male sex (OR 3.99 [CI 1.84–8.61]) and age 12–23 months (OR 2.61 [CI 1.24–5.50]) were statistically associated to a higher risk of having adverse events. Urethral catheterization is associated to adverse events in the following week in 21% of young children. Male sex and age 12–23 months were associated with a higher risk of complications. It should be used carefully in young children especially in those with risk factors.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».