在患有喉疼痛的患者中基于CT的诊断:单一的机构审查
Daiqi Wang1, Khoi Nguyen1, Alexandra Rubin1
1Department of Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, 1300 York Ave, New York, NY 10021, USA.
The American journal of emergency medicine
|October 28, 2023
概括
一些临床发现,包括淋巴腺病,桃体异常,白细胞计数升高和发烧,预测了计算机断层扫描 (CT) 扫描在急诊部 (ED) 喉疼痛的诊断产量.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 部计算机断层扫描 (CT) 经常在急诊室 (ED) 用于评估喉疼痛.
- 根据临床因素预测这些扫描的诊断效用,可以优化资源配置.
研究的目的:
- 为了确定临床预测指标,表明诊断CT扫描喉疼痛的可能性.
- 评估人口统计数据,病史,体检和实验室检查是否与需要部CT相关.
主要方法:
- 对367个部CT扫描进行的回顾性审查,用于ED的喉疼痛.
- 分析患者的人口统计数据,病史,体检结果和实验室结果.
主要成果:
- 宫淋巴腺病,桃体发现,白细胞计数升高和发烧显著与获得诊断CT扫描的可能性更高有关.
- 几率比率表明淋巴腺病变 (2.69),桃体发现 (2.94),白细胞计数 (1.08) 和温度 (1.94) 的可能性增加.
结论:
- 考虑到桃体异常,淋巴腺病,体温和白细胞计数,在为喉疼痛订购部CT之前,可能会提高诊断产量.
- 这种方法可能会减少在ED环境中不必要的CT使用.
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