对于接受皮肤成像导向乳房手术的患者,抗凝管理的现行实践
Theodore Brown1, Leah Schafer2, Muhammad Mustafa Qureshi3
1Boston University Medical Center, Department of Radiology, Boston, MA, USA.
Journal of breast imaging
|July 31, 2023
概括
针对抗血栓治疗的乳腺成像实践存在很大差异. 许多人在手术前拒绝服用药物,但很少有人遵循指南,增加了血栓形成的风险. 坚持基于证据的指导方针至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 医疗实践管理 医疗实践管理
背景情况:
- 通过皮肤手术的抗血栓药物管理有所不同.
- 了解乳房和下手术当前的做法是必不可少的.
研究的目的:
- 在乳腺成像学会 (SBI) 成员中调查皮肤穿透乳房和腹手术的当前抗血栓管理实践.
主要方法:
- 在2021年3月份,向2094名SBI会员分发了一份20项调查.
- 数据是匿名收集的,并进行了定量分析,对自由文本回复进行了定性分析.
主要成果:
- 15.6%的会员完成了调查,87%的会员有针对抗血栓管理的政策.
- 59%的人在活检前经常拒绝服用药物,因地区而异.
- 许多接受华法林和直接口服抗凝剂的患者,比指南建议的更严格地扣留药物.
结论:
- 对抗血栓治疗的乳腺成像实践是不一致的.
- 少数实践符合推的保留指南,可能增加血栓形成风险.
- 放射科医生在管理抗血栓药物时应遵守基于证据的指导方针,以最大限度地降低患者的风险.
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