在无症状患者中进行动脉多普勒超声波的指示 - 我们是否正确订购它?
Alcides Alves da Silva1, André Brusamolin Moro1, Jeferson Freitas Toregeani1,2
1Centro Universitário da Fundação Assis Gurgacz - FAG, Cascavel, PR, Brasil.
Jornal vascular brasileiro
|August 14, 2023
概括
医疗专家通常会为查订购不必要的动脉多普勒超声波. 血管外科医生更有可能正确要求这项测试,对于患有动脉狭窄风险因素的患者.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
- 医疗指南 遵守 医疗指南
背景情况:
- Carotid 动脉容易发生动脉样硬化,导致斑块形成和狭窄.
- 多普勒超声波是对无症状个体的动脉病变的主要查工具.
- 指导方针建议仅对患有动脉狭窄风险因素的患者进行查,这些患者是治疗候选人.
研究的目的:
- 评估医疗专家是否根据已建立的医学文献和指南将多普勒超声波查请求作为基础.
- 在临床实践中评估带超声波请求的适当性.
主要方法:
- 追溯分析患者要求进行动脉超声波的请求.
- 使用RStudio版本 1.3.959.9 的数据分析.
- 根据至少一个动脉斑块风险因素的存在,对请求的适当性进行评估.
主要成果:
- 只有36%的多普勒超声波要求进行尾动脉查被认为是适当的.
- 血管外科专家表明,正确测试订单的可能性更高 (OR:3.52,p=0.02).
- 超声波最常见的征兆是一般的血管检查,动脉高血压是最普遍的危险因素.
结论:
- 这项研究发现,人们过度使用喉超声波查请求.
- 与其他专家相比,血管外科医生在订购动脉超声波时表现出更好地遵守指南.
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