计算机断层扫描用于患者出现胸痛的患者
Erin L Simon1, Jessica Krizo2, Kristen Septaric3
1Department of Emergency Medicine, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH 44307, USA.
The American journal of emergency medicine
|October 6, 2023
概括
计算机断层扫描 (CT) 扫描在独立的急诊室 (FSEDs) 中使用的频率不如医院急诊室 (HBEDs) 常见,用于胸痛患者. 这项研究分析了FSEDs与HBEDs的胸痛CT利用率.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 计算机断层扫描 (CT) 是急诊室 (ED) 评估严重疾病的关键诊断工具.
- 独立的急诊室 (FSED) 为传统的医院急诊室 (HBED) 提供了替代方案.
- 了解不同ED环境中的CT利用模式对于患者护理和资源配置至关重要.
研究的目的:
- 为了比较CT扫描的利用率,患者在FSED和HBED之间呈现胸痛.
- 为了确定在独立和医院的紧急护理之间的诊断成像的潜在差异.
主要方法:
- 从2019年5月到2021年4月,对67,084名患者遭遇胸痛的回顾性分析.
- 数据来自大型综合医疗保健系统中的17个急诊室.
- 多重后勤回归用于控制患者因素 (并发症指数,ESI,年龄,性别,种族) 并评估设施类型对CT利用的影响.
主要成果:
- 与HBED患者相比,患有FSEDs胸痛的患者接受CT扫描的可能性较低 (调整后几率比率=0.85,95% CI [0.81-0.90]).
- 该研究控制了重要的预测变量,隔离了设施类型的影响.
- 人口统计数据显示,医疗保险/医疗补助保险 (59%) 的患者人口主要为女性 (55%),白人 (61%).
结论:
- 胸部的CT扫描在FSED中相对于胸痛患者的HBED相对未得到充分利用.
- 这一发现表明,在独立和医院紧急护理机构之间的诊断成像实践中,存在潜在的差异.
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