从亲自和远程医疗初级保健队伍的肌肉骨放射图的结果进行比较,2019年4月至2021年6月
John Petrilli1, Taylor Guth2, Emily Coughlin2
1From the Department of Family Medicine, University of South Florida Morsani College of Medicine (JP); University of South Florida Morsani College of Medicine Tampa, FL (TG); Department of Medical Education, University of South Florida Morsani College of Medicine, Tampa, FL (EC). jpe@usf.edu.
Journal of the American Board of Family Medicine : JABFM
|September 13, 2023
概括
在COVID-19大流行后在面对面访问期间订购的肌肉骨放射图比远程医疗访问时更有可能出现异常. 这表明在订购远程患者护理成像时需要仔细考虑.
科学领域:
- 放射学 放射学是一门学科.
- 主要护理是指初级护理.
- 远程医疗远程医疗
背景情况:
- 肌肉骨疾病是初级保健咨询的常见原因.
- 远程医疗越来越多地用于管理这些疾病.
- 了解远程医疗中的成像结果对于患者护理和医疗保健经济至关重要.
研究的目的:
- 为了比较在面对面和远程医疗初级保健访问期间订购的肌肉骨放射图的结果.
- 评估SARS-CoV-2流行病对放射测定和检测结果的影响.
主要方法:
- 一项回顾性队列研究分析了从2019年4月1日到2021年3月31日的1580个肌肉骨放射学指令.
- 放射学报告被分类为正常或异常.
- 研究结果与面对面和远程医疗访问进行了比较,考虑到大流行病的发病时间.
主要成果:
- 与远程医疗访问相比,流行后面对面访问的放射图有显著更高的异常几率 (OR 2.51).
- 疫情爆发后订购的个人放射图显示,与疫情前的订单相比,异常率增加了 (OR 1.88).
- 健康和并发症的社会决定因素没有影响远程医疗的使用.
结论:
- 在SARS-CoV-2大流行之后,亲自访问的异常肌肉骨放射图比远程医疗访问的比例更高.
- 建议在远程医疗接触时谨慎选择肌肉骨放射图.
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