在紧急情况下腹部系列的实用性:回顾性审查
Sarah Hogan1, Joshua Ward2, Eric Sala2
1Memorial University of Newfoundland, St. John's, NL, Canada. seh663@mun.ca.
International journal of emergency medicine
|January 4, 2024
概括
腹部X射线 (AXR) 经常在急诊室订购,但在随后的成像中显示出较低的临床效用. 这种成像测试还有助于使患者在急诊室停留时间更长.
科学领域:
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹部X射线 (AXR) 常用于急诊室 (ED).
- 现有研究表明,AXRs的潜在过度使用和可疑的临床价值.
- 描述ED中的AXR利用和影响对于优化患者护理至关重要.
研究的目的:
- 在ED中量化AXR订单的频率.
- 为了评估AXR后后续成像的速度.
- 为了估计与ED中的AXR程序相关的时间.
主要方法:
- 2019年1月至12月期间在ED中进行的AXR的回顾性审计.
- 从图片存档和通信系统 (PACS) 和电子医疗记录中收集的数据.
- 统计分析包括奇二次测试,以评估AXR结果和后续成像之间的关系.
主要成果:
- 在701个AXR中,62.4%是正常的,37.6%是异常的.
- 在AXR结果和随访成像之间发现了统计学上显著的关系 (p < 0.001),但效应大小小小 (Nagelkerke R平方 = 0.022).
- 患者在ED的平均时间为7.27小时,AXR的平均解释时间为1.31小时.
结论:
- 大多数AXR产生正常结果,表明诊断产量有限.
- AXRs在统计学上显著,但在临床上具有较低的预测价值,用于随后的成像.
- 减少AXR过度使用可能会减少急诊室患者等待时间.
更多相关视频
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
2.8K
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
51.3K
相关概念视频
01:25Assessment of the Abdomen I: Inspection and Auscultation
413
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
413
01:26Endoscopic Procedures V: ERCP
248
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
248
01:20Ultrasound I: Abdominal Ultrasonography
232
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
232
01:18Assessment of the Abdomen II: Percussion
347
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
347
01:23Lower GI Series: Barium Enema
280
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
280
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80