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在精神病并发症的住院患者中,先进的成像使用和延迟
Emily Bartsch1, Saeha Shin2, Kathleen Sheehan3,4
1Division of General Internal Medicine, University of Toronto, Toronto, Ontario, Canada.
Brain and behavior
|February 16, 2024
概括
患有精神病并发症的患者经历了更长的MRI,超声波和PICC插入等待时间. 这些患者在住院期间也被要求进行更少的先进成像检查.
科学领域:
- 医疗成像医学成像
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
背景情况:
- 在一般内科患者中,精神病并发症很常见.
- 获得先进的成像测试对诊断和治疗至关重要.
- 了解成像使用和等待时间的差异对于公平的护理很重要.
研究的目的:
- 为了研究精神病随病症对住院先进成像测试的利用和等待时间的影响.
- 为了确定受精神病并发症影响的特定成像模式.
主要方法:
- 五所学术医院 (2010-2019) 的196,819例一般内科住院病人的回顾性队列研究.
- 检查了精神病并发症和计算机断层扫描 (CT),磁共振成像 (MRI),超声波和外围插入中央导管 (PICC) 插入时间之间的关联.
- 利用多层混合效应模型和边际效应来分析等待时间和测试订单率.
主要成果:
- 精神病并发症与MRI (5.3小时),PICC (3.7小时) 和超声波 (3.0小时) 的等待时间较长有关,但CT并非如此.
- 患有精神病并发症的患者有较低的先进成像测试订购率 (-17.2个测试每100个住院日).
结论:
- 精神病并发症与减少订购和增加特定高级住院成像测试的等待时间有关.
- 这些发现凸显了精神病患者在先进成像治疗中可能存在的差异.
- 需要进一步的研究来了解和解决导致这些差异的障碍.
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