在炎症性肠病紧急评估诊所进行的床边肠道超声波改善了临床决策和资源利用
Joëlle St-Pierre1, Maxime Delisle1, Hengameh Kheirkhahrahimabadi2
1IBD Unit, Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Alberta, Canada.
护理点肠道超声波 (IUS) 有助于管理炎症性肠病 (IBD),指导治疗决策并减少急需内镜的需要. 这种非侵入性工具改善了IBD护理的提供.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 炎症性肠道疾病管理管理
背景情况:
- 炎症性肠病 (IBD) 需要可访问的,非侵入性的监测策略.
- 目前的监测往往涉及侵入性手术,突出了替代方案的需要.
研究的目的:
- 评估肠道超声波 (IUS) 在标准化护理途径中的整合.
- 评估IUS对IBD患者临床决策和内镜利用的影响.
主要方法:
- 进行了一项前性,多中心的国际观察队列研究.
- 在一个集中护理模式中,IBD患者被评估使用IUS,单独或与西格莫视镜,在一个集中护理模型中.
- 收集的数据包括人口统计,临床,实验室和成像发现,临床决策以及紧急干预的需要.
主要成果:
- 在158名IBD患者中,IUS在65%的患者中检测到活跃的炎症,在14%的患者中检测到狭窄.
- 便中的calprotectin水平与IUS检测到的炎症有显著的相关性 (p=0.0271).
- 在57%的患者中,IUS的临床评估促使药物改变,58%的患者避免了/推迟了紧急内镜检查.
结论:
- 在急症诊所设置中,点诊IUS有效改善IBD护理.
- 内置消化器有助于治疗管理决策,往往避免了急性内镜检查的需要.
- 这种非侵入性成像模式增强了IBD患者的管理和监测.
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