对于美国儿科附录的结构化报告的附加值:额外的CT检查和负尾切除术
Journal of the Korean Society of Radiology
|June 16, 2023
概括
儿童尾超声检查的结构化报告显著减少了CT扫描和负尾切除. 这种方法可以提高尾炎的诊断准确度,而不会增加穿孔率.
科学领域:
- 放射学 放射学是一门学科.
- 儿科成像学 儿科成像学
- 胃肠道成像技术 胃肠道成像技术
背景情况:
- 超声波 (US) 是儿童疑似尾炎的主要成像方法.
- 目前的美国报告方法可能缺乏标准化,可能会影响诊断结果.
- 评估标准化报告工具对于优化儿科尾炎诊断至关重要.
研究的目的:
- 评估结构化报告 (SR) 对儿科尾美国检查的附加值.
- 为了比较附录US的自由文本和SR格式之间的临床结果.
主要方法:
- 对1150名疑似尾炎的儿科患者的回顾性分析 (2009年1月 - 2016年6月).
- 2012年11月,为附录美国开发和实施五分级的SR.
- 在自由文本和SR组之间,CT成像率,负尾切除率 (NAR) 和穿孔率 (PR) 的比较.
主要成果:
- SR组 (600名患者) 显示额外CT成像显著下降 (8.2%与自由文本组相比).
- 此外,SR组也显示了阴性尾切除率的显著降低 (7.8%与自由文本组相比).
- 两组之间没有观察到尾穿孔率的统计学上显著差异.
结论:
- 针对美国儿科附录的结构化报告的实施提高了诊断效率.
- 在儿科患者中,SRs导致CT利用率下降和不必要的尾切除术减少.
- 在小儿尾炎中使用SR是安全的,不会增加穿孔风险.
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