COVID-19大流行如何影响了SPECT心肌输液的转诊模式? 一个单一的中心体验体验
Saeedeh Ataei Nakhaei1, Emran Askari1, Hadis Mohammadzadeh1
1Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
随着COVID-19大流行,心肌输液成像 (MPI) 的转诊显著减少. 患有中等冠状动脉疾病 (CAD) 风险的患者被转诊更多,而高风险患者被转诊少,影响心脏成像实践.
科学领域:
- 心脏病学 心脏病学
- 核医学就是核医学.
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19的流行,全球各地的医疗保健服务受到干扰.
- 对诊断成像转诊的影响,特别是对于心血管疾病,需要进行评估.
- SPECT心肌输液成像 (SPECT-MPI) 是冠状动脉疾病 (CAD) 的关键诊断工具.
研究的目的:
- 评估COVID-19大流行对SPECT-MPI推量的影响.
- 分析疫情期间患者临床和成像特征的变化.
- 为了比较SPECT-MPI的流行病前和流行病时代的转诊模式.
主要方法:
- 对1042个SPECT-MPI案件进行了回顾性审查.
- 在COVID-19大流行之前 (PRE) 和期间 (PAN) 的4个月期间的比较.
- 分析转诊率,患者症状,以及CAD的预测概率.
主要成果:
- 与PRE相比,在PAN期间观察到SPECT-MPI转诊的显著下降 (p = 0.014).
- 患者的表现发生了转变:非心血管性胸痛减少 (31%至19%),非典型胸痛增加 (25%至42%),典型胸痛减少 (19%至11%) (所有p <0.001).
- 高预测概率CAD的转诊率下降了 (18%至6%),而中间预测概率增加了 (55%至65%) (p <0.001和p = 0.008).
结论:
- 随着COVID-19大流行,SPECT-MPI转诊的数量大幅减少.
- 转诊模式发生了变化,较少的高风险CAD患者和更多的中等风险患者接受了SPECT-MPI.
- 尽管转诊发生了变化,心肌缺血和心脏梗塞的发病率在期间之间没有显著差异.
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