- 放射学发现,最终诊断和死亡率的紧急演示
Jeannette-Marie Busch1, Isabelle Arnold1, Julia Karakoumis1
1Emergency Department, University Hospital Basel, Basel, Switzerland.
International journal of clinical practice
|June 29, 2023
概括
在急诊室出现头的情况很常见. 神经影像对初级头投诉很少有用,这些投诉具有有利的预后,0%的30天死亡率.
科学领域:
- 紧急医疗 紧急医疗
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 头是急诊室 (ED) 的一个常见的投诉.
- 通常会开始进行包括神经成像在内的广泛的检查.
- 了解最终的诊断和结果对于患者管理至关重要.
研究的目的:
- 为了确定头作为ED表现中的初级或二级投诉的发生率.
- 为了确定头最常见的最终诊断.
- 评估神经成像的实用性和患者在头病例中的结果.
主要方法:
- 两个观察性队列研究的二次分析.
- 包括向巴塞尔大学医院的ED报告的患者.
- 从电子健康记录中提取有关人口统计,诊断,神经成像和结果的数据.
主要成果:
- 在2.3%的演讲中,头是主要的抱怨,在9.8%的演讲中,是次要的抱怨.
- 初级头的主要诊断包括非特异性头,外围前庭功能障碍和体化/焦虑.
- 神经成像在44.8%的初级头病例中进行,只有4.8%的相关发现.
结论:
- 对于ED患者的头神经成像效率低,应该保留给神经异常的特定病例.
- 主要的头呈现通常具有有利的预后,没有短期死亡率.
- 优化对头的诊断工作可以提高在紧急情况下的资源利用率.
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