目前的腹部X射线在事故和紧急情况下的实践
1University Hospital Wales, Heath Park Way, Cardiff, CF14 4XW, United Kingdom.
Journal of medical imaging and radiation sciences
|August 12, 2023
概括
事故和急救部门的腹部X射线 (AXR) 经常被过度使用,理由率低,发现最小. 改善对指导方针的遵守,可以减少患者的辐射暴露,并优化成像资源.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 紧急医疗 紧急医疗
背景情况:
- 之前的审查表明,在急诊室,腹部X射线 (AXR) 的指导方针的敏感性低,不符合指导方针.
- 过度使用AXR导致不必要的辐射暴露和低效的资源分配.
研究的目的:
- 调查英国一家大型事故和紧急情况 (A&E) 部门当前的AXR实践.
- 确定需要改进的AXR请求理由和性能方面的领域.
主要方法:
- 在28天的时间内,从A&E对169个AXR请求进行了回顾性评估.
- 排除非A&E患者和放弃的检查.
- 分析请求的理由,发现和进一步成像的速度.
主要成果:
- 在包含的141个AXR请求中,15.4%是不合理的.
- 报告的AXR中,只有4%显示病理异常.
- 45/136 (33.1%) 患者需要进一步的成像,比之前报告的更低.
结论:
- 调查结果表明,在A&E环境中,AXR的过度使用是显著的.
- 建议通过临床治理提高对证明准则的认识.
- 减少AXR过度使用可以最大限度地降低辐射剂量,提高成像服务效率.
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