在识别患有诊断性有限视频光学吞研究风险的儿科患者的预测因素
Julia Canick1, Dehra McGuire2, Kayla W Kilpatrick3
1School of Medicine, Duke University Durham, NC, USA.
Ear, nose, & throat journal
|October 26, 2023
概括
无法在家里口服0.5司的饮食不能预测儿童的非诊断性视频光学吞研究 (VFSS). 年龄和并发症是VFSS实用性的更可靠指标.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 语音语言病理学 语言病理学
- 放射学 放射学是一门学科.
背景情况:
- 视频光镜吞研究 (VFSS) 对于诊断儿科失足症至关重要.
- VFSS是资源密集型,涉及辐射,并且可能耗时.
- 识别那些可能无法从VFSS中受益的患者对于安全和资源管理至关重要.
研究的目的:
- 为了确定一个孩子口服至少0.5司的消费能力是否可靠地预测出诊断上有用的VFSS.
- 确定影响儿科患者VFSS实用性的因素.
主要方法:
- 从2014年至2021年接受VFSS的儿科患者 (0-18岁) 的回顾性图表审查.
- 临床数据的分析,包括在家口服,年龄和并发症.
- 评估VFSS诊断收益率与研究前摄入量和患者特征相关.
主要成果:
- 无法在家中口服消费0.5司与非诊断的VFSS结果没有相关性.
- 与年龄较大的儿童和青少年相比,幼儿的非诊断VFSS的可能性更高.
- 胃肠道和神经肌肉共同疾病与临床上有用的VFSS有关.
结论:
- 在家中口服0.5司的摄入量不是VFSS诊断实用性的可靠预测指标.
- 在决定使用VFSS时,临床医生应考虑患者的年龄,家庭摄入量和并发症 (神经肌肉,胃肠道).
- 这些因素可以帮助优化患者选择VFSS,提高安全性和资源配置.
相关概念视频
Upper GI Series: Barium Swallow
405
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
405
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
92
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
92
Imaging Studies for Cardiovascular System III: X-Ray
194
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
194
Esophageal Strictures-II: Clinical Features and Management
78
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
78
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K


