在初级头痛急诊室的医生管理和CT订单
Lynette D Krebs1, Cristina Villa-Roel1, Esther H Yang1
1Department of Emergency Medicine, University of Alberta, Edmonton, AB, Canada.
概括
紧急医生经常使用计算机断层扫描 (CT) 扫描初级头痛,尽管过度使用的担忧. 医生的培训和患者的期望显著影响CT在急诊室的订购决策.
科学领域:
- 紧急医疗 紧急医疗
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 主要的头痛管理在急诊室各不相同.
- 计算机断层扫描 (CT) 扫描在初级头痛评估中经常被过度使用.
研究的目的:
- 评估紧急医生 (EPs) 对初级头痛的管理.
- 评估EP对头部CT的态度,主要是为了头痛.
主要方法:
- 在加拿大中心对EP的横截面研究.
- 探讨了医生对CT对初级头痛的适宜性认知的驱动因素.
主要成果:
- 大多数EP (88%) 没有调查中度至重度初级头痛,但CT在耐火病例中很常见 (47%).
- CT订购是由咨询 (64%) 或入院 (64%) 需求驱动的.
- 患者的期望 (48%) 和对错过诊断的恐惧影响了CT决策.
结论:
- EP报告了基于证据的管理,但在限制CT使用方面面临着复杂性.
- 医生的培训和感知障碍显著影响CT订购态度.
- 需要进一步的研究来了解影响CT订单实践的因素.
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