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住院血栓友爱检查;血液学咨询是否可以防止不必要的检测?
Zackary Anderson1, Mohammed Ahsan1, Carlos Aguirre2
1Graduate Medical Education Internal Medicine Residency, Naples Community Hospital Healthcare System, Naples, FL, USA.
概括
对于未引起的静脉血栓栓塞的住院血栓友爱检测通常是不必要的. 目前的指导方针建议不要这样做,因为测试很少影响诊断或治疗,导致资源过度利用.
科学领域:
- 血液学 血液学 血液学
- 内部医学 内部医学
背景情况:
- 高凝血性疾病增加了静脉或动脉中血栓的风险.
- 住院血栓塞瘤治疗对于未引起的静脉血栓塞栓症来说是常见的,以找到潜在的原因.
研究的目的:
- 评估住院血栓友病检测的适当性和影响.
- 评估是否遵守美国血液学会关于血栓友爱症的指导方针.
主要方法:
- 对未引起静脉血栓塞栓症患者的回顾性图表审查.
- 基于既定标准,对血栓友爱症测试适宜性的分析.
- 测试与诊断,抗凝药和咨询的相关性.
主要成果:
- 只有15%的患者符合适当的血栓友测试标准.
- 适当的测试与血栓形成症的诊断或抗凝药的启动没有相关性.
- 适当的测试与血液瘤学咨询有关.
结论:
- 住院血栓友爱症检测经常被过度利用,很少影响患者管理.
- 在考虑进行血栓友爱检测时,咨询专家可能是有益的.
- 强烈建议不要进行常规的住院检测,以节省医疗保健资源.
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