起源不明の昏睡.原因不明の昏睡.起源不明の昏睡.原因不明の昏睡.原因不明の昏睡.原因不明の昏睡. 診断の評価に費用対効果の高いアプローチの必要性
JAMA
|May 21, 1982
まとめ
広範なの評価は,しばしば無効で高価である. ターゲットを絞った診断戦略の開発は,失眠の原因を効率的に特定するために不可欠です.
科学分野:
- 神経学 神経学とは
- 心臓病学 心臓病学
- 内科内科は,内科の内科である.
背景:
- 昏睡,または昏睡は,入院の一般的な理由です.
- 昏睡の原因を特定することは困難であり,広範な診断作業につながります.
研究 の 目的:
- 不明な起源のシンコペに使用されるさまざまな診断検査の有効性と費用効率を評価する.
- 入院患者の異なる検査の診断成果を評価する.
主な方法:
- 1976年から1980年の間に原因不明ので入院した121人の患者の遡及的レビュー.
- 心臓モニタリング,電気生理学研究,心臓キャセテリゼーション,グルコース耐性検査,神経イメージング (CT,放射性核素脳スキャン),腰椎穿刺,頭蓋骨レンツゲノグラム,および電気脳図 (EEG) を含む診断試験の分析.
主要な成果:
- 121人の患者のうち13人だけが,決定的な診断を受けました.
- 神経画像とEEGを含む広範な検査により,診断情報は限られていた.
- 心臓モニタリングと電気生理学的研究は,患者の小さなサブセットで診断異常を示しました.
- 平均的な入院期間は9日で,患者の平均費用は2,463ドルであった.
結論:
- 未知の起源のの総合的な評価は,費用対効果が低いことが多い.
- 診断成果を向上させ,医療費を削減するために,前向きな,目標指向の診断アプローチが必要である.
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