报告年龄调整的D-二次元切线值可以减少急诊室的放射学过度使用,这些患者怀疑患有深静脉血栓症
Pablo Leiva-Salinas1, Emilio Flores2, Alvaro Blasco2
1Department of Clinical Medicine, Universidad Miguel Hernandez, Elche, Spain.
Clinical biochemistry
|October 4, 2023
概括
在急诊室使用年龄调整的D-二次元切断值显著提高了静脉血栓栓塞 (VTE) 的诊断特异性. 这种方法还减少了不必要的成像测试,如CTPA和多普勒超声波.
科学领域:
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
- 血栓形成的原因之一是血栓形成.
背景情况:
- 静脉血栓塞栓症 (VTE) 是死亡率和发病率的重要原因.
- 有效的诊断策略对于及时治疗VTE至关重要.
- 在急救部门 (ED) 进行当前的D-二次体测试可以进一步优化.
研究的目的:
- 为了比较D-二次体的诊断性能,使用常规与年龄调整的切断值来检测ED中的VTE.
- 评估报告年龄调整的D-二次数值对多普勒超声波 (US) 和CT肺血管造影 (CTPA) 的利用的影响.
主要方法:
- 一项横截面研究比较了D-二次元诊断性能与传统和年龄调整的截止值.
- 一项准实验性研究评估了在引入年龄调整的D-二次数指标之前和之后的成像测试订单模式.
- 这些研究主要集中在年龄在50-100岁的急诊室患者身上,他们有D-二次体订单.
主要成果:
- 与传统的切断极限相比,年龄调整的D-二次元切断极限显示出显著更高的特异性 (0.51比0.42).
- 经年龄调整后的负概率比率较低 (0.08比0.19).
- 在实施年龄调整的D-二分体报告后,观察到CTPA和多普勒US使用的统计显著下降.
结论:
- 实施年龄调整的D-二次元切断值可以提高ED中VTE的诊断准确度.
- 这一策略优化了对D-二次体结果的使用,并减少了对先进成像方式的依赖.
- 这些发现支持将年龄调整的D-二分体测试纳入VTE查的例行紧急护理.
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