英国的设备辅助肠镜性能测量:DEEP-UK质量改进项目
Mohamed G Shiha1,2, Reena Sidhu1,2, Laura A Lucaciu3
1Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom of Great Britain and Northern Ireland.
英国的设备辅助肠镜 (DAE) 显示出高度的诊断和治疗成功,符合欧洲质量标准. 建议在镇静,文档和病变标记方面进行改进,以获得更好的患者护理.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 小肠成像小肠成像
背景情况:
- 设备辅助肠镜 (DAE) 是小肠病理学的关键工具.
- 欧洲胃肠内镜学会 (ESGE) 制定了DAE的质量基准.
- 本研究评估了英国DAE的表现与ESGE基准相比.
研究的目的:
- 评估英国DAE绩效指标.
- 将DAE结果与ESGE质量基准进行比较.
- 为了确定DAE质量改进的领域.
主要方法:
- 来自12个英国中心 (2017-2022) 的回顾性数据收集 (2017-2022).
- 对患者人口统计和DAE绩效指标的分析.
- 包括2005年在1663名患者的DAE程序.
主要成果:
- 高诊断收益率 (70.0%) 和治疗成功 (96.6%).
- 适用于98.1%的手术的适用指示;低的不良事件 (0.6%).
- 深度镇静改善了患者的舒适度 (99.7%与68.5%相比).
- 78.0%的损伤标记;记录的插入深度为73.4%.
结论:
- 英国DAE的表现符合ESGE的质量基准.
- 实现了高的诊断和治疗产量.
- 需要改进的领域包括镇静,文档标准化和病变标记.
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