一个合作的紧急医疗和放射学肺结节计划:识别相关的有效性和结果
Lynn G Jiang1, Meghan Cahill2, Aisara Chansakul1
1Department of Emergency Medicine, Weill Cornell Medical Center, NewYork-Presbyterian Hospital, New York, New York.
Journal of the American College of Radiology : JACR
|July 8, 2023
概括
紧急诊所 (ED) 的新肺结节计划 (PNP) 改善了偶发肺结节的患者随访率. 这一举措促进了更好的护理过渡,并且可以适应其他偶然发现.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 偶然的放射性发现很常见,但急诊室 (ED) 护理对患者的随访提出了挑战.
- 随机发现的随访率差异很大,大量患者没有得到必要的护理.
- 建立一个结构化的后续过程对于管理偶然的肺结节至关重要.
研究的目的:
- 描述和分析紧急医疗和放射学之间的合作倡议的结果.
- 建立一个正式的工作流程,用于在ED中发现的肺结节的随访.
- 评估肺结节计划 (PNP) 在改善患者护理过渡方面的有效性.
主要方法:
- 对患者的回顾性分析,这些患者被转介到肺结节计划 (PNP).
- 将患者分为具有和没有ED后随访的患者.
- 随访组和失去随访组之间的患者特征的比较.
- 评估随访率和转诊进行活检.
主要成果:
- 574名患者被转介到PNP,初始随访率为69.1%.
- 30.8%的患者失去了随访,超过一半的患者对初始接触没有反应.
- 在完成随访的259名患者中,有13% (26) 被转诊进行活检.
结论:
- PNP展示了有效的护理过渡和潜在的医疗保健改进.
- 通过加强后续遵守策略,可以实现代改进.
- 在各种医疗保健系统中,PNP为管理偶然的肺结节和其他发现提供了一个框架.
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