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计算机断层扫描用于儿科突击创伤的差异:系统性审查和元分析比较儿科和非儿科创伤中心
Amir Hassankhani1,2, Parya Valizadeh3, Melika Amoukhteh1,2
1Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1441 Eastlake Ave Ste 2315, Los Angeles, CA, 90089, USA.
Emergency radiology
|September 23, 2023
概括
儿童创伤中心使用计算机断层扫描 (CT) 扫描较少用于重创伤,而不是成人中心. 这项研究发现CT利用率存在显著差异,突出了对适当的成像实践进行进一步研究的需要.
科学领域:
- 医疗成像医学成像
- 创伤外科 手术 创伤外科
- 儿科急救医学 儿科急救医学
背景情况:
- 儿科的突击创伤是严重疾病和死亡的重要原因.
- 计算机断层扫描 (CT) 对于评估儿科突击创伤至关重要.
- 在儿科和非儿科创伤中心之间,CT利用的差异可能存在.
研究的目的:
- 识别和比较儿童创伤中心与成人或混合创伤中心的儿科突击创伤患者的CT扫描利用率.
主要方法:
- 一项系统性审查和对2023年3月3日之前发表的研究进行元分析.
- 搜索了数据库,包括PubMed,Scopus和科学网.
- 包括30项关于儿科突击创伤患者 (<21岁) 和创伤中心类型的研究,分析CT利用数据.
主要成果:
- 与成人/混合中心相比,儿童创伤中心的腹腔皮层,头骨,胸部和椎CT扫描率较低.
- 在儿童创伤中心,接受至少一次CT扫描的总比率为54%,在成人/混合中心为69.3%.
- 在包括的研究中观察到显著的异质性.
结论:
- 在不同类型的创伤中心之间,对于儿科突击创伤患者的CT扫描利用有显著的差异.
- 需要进一步的研究来了解这些变化的原因,并优化成像协议.
- 努力应集中在适当的成像使用,尽量减少辐射暴露,并促进创伤中心之间的合作.
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