患者测量后空余膀体积的一致性和可靠性
Michael Jalfon1, Mursal Gardezi1, Dylan Heckscher1
1Yale University School of Medicine, New Haven, CT.
Urology
|December 13, 2023
概括
患者可以使用便携式超声波设备可靠地自测后空余膀体积 (PVR). 这种方法是可行的,准确的,并且被患者喜欢用于远程监测排泄功能障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 远程监控患者 远程监控患者
背景情况:
- 排空后的剩余膀体积 (PVR) 测量对于管理排空功能障碍至关重要.
- 目前的PVR测量通常需要医疗保健访问,限制远程监测能力.
- 智能设备便携式超声波为家庭PVR评估提供了一个潜在的解决方案.
研究的目的:
- 用便携式超声波系统评估患者自测PVR的可靠性和一致性.
- 为了比较患者的自我测量与提供者的测量.
- 评估患者对自测与提供者测量的偏好.
主要方法:
- 50名接受泌尿外科门诊的患者参与了这项研究.
- 提供者和患者使用便携式超声波设备 (有两种模式) 和标准的膀扫描仪进行PVR测量.
- 使用类内相关性评估可靠性,使用布兰德-阿尔特曼分析评估一致性.
主要成果:
- 患者自我测量显示出高可靠性 (类内相关性为0.950.98).
- 自测和标准扫描仪之间的协议限制超过了50毫升的门.
- 大多数患者 (74%) 喜欢自我测量而不是提供者测量.
结论:
- 用便携式超声波测量PVR的患者自我测量是可行的,可靠的和首选的.
- 虽然协议限制需要考虑,但这项技术支持远程监控以消除功能障碍.
- 进一步的研究应该考虑纵向研究中超声测量固有的误差.
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