儿科和先天性心脏病患者心脏CT利用趋势:一个多中心调查研究
Rebecca Epstein1, Maiko Yomogida2, Denis Donovan1
1Division of Cardiology, Department of Pediatrics, Weill Cornell Medicine, New York, NY, USA.
Journal of cardiovascular computed tomography
|February 15, 2024
概括
在儿科先天性心脏病 (CHD) 患者中心脏CT (CCT) 的使用急剧增加,但在各中心的实践模式和技术采用中存在显著差异. 解决这些差异是改善患者护理的关键.
科学领域:
- 心脏病学 心脏病学
- 儿科成像学 儿科成像学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 心脏CT (CCT) 的使用在儿科和先天性心脏病 (CHD) 患者群体显著增加.
- 然而,在这个人群中,CCT使用的趋势和实践变化在很大程度上仍然没有特征.
研究的目的:
- 评估儿科和心脏病患者心脏CT利用的趋势和实践模式变化.
- 为了确定障碍物和改善领域的CCT服务,为这一群体.
主要方法:
- 一项21项调查在2022年9月分发给北美儿科心脏病中心.
- 该调查收集了2011年和2021年CCT使用情况的数据,包括技术,工作流程和培训.
主要成果:
- 儿科/心脏病患者中CCT的使用量从2011年的73%的中心上升到2021年的98%,年体积显著增加.
- 在获取技术,麻醉使用,心率控制和医生培训方面观察到广泛的变化.
- 常见的障碍包括辐射问题,麻醉要求和资源限制;许多中心缺乏正式的CCT培训.
结论:
- 尽管儿童/心脏病患者中使用CCT的数量大幅增加,但在技术,人员配置和工作流程方面仍然存在显著的中心级变化.
- 增强的机会包括改善扫描仪的访问,人员,正式的同学教育,并采用先进的技术.
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