应急部门的细胞质炎:以患者为中心的随访为中心的前性队列研究
Rachael S Nightingale1, Nimai Etheridge2, Amy L Sweeny1,3,4
1Department of Emergency Medicine, Gold Coast University Hospital, Southport, Queensland, Australia.
Emergency medicine Australasia : EMA
|March 14, 2024
概括
细胞炎症状在第3天得到改善,但许多患者在第14天仍然存在红血和胀. 患者和临床医生经常不同意细胞炎治愈,强调需要更明确的评估标准.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 紧急医疗 紧急医疗
背景情况:
- 蜂炎的管理显示出显著的实践差异.
- 有限的前性研究详细介绍了诊断后的细胞炎进展情况.
- 了解患者报告的结果和中期随访至关重要.
研究的目的:
- 描述急诊室 (ED) 患者细胞炎的人口统计和临床特征.
- 分析患者报告的疾病轨迹和中期随访情况.
- 为了比较临床医生和患者对细胞炎治疗的评估.
主要方法:
- 在两个澳大利亚ED中进行的前性观察队列研究.
- 被诊断患有细胞炎的成年患者 (不包括周围轨道和瘤病例) 被纳入.
- 通过基线和后续调查问卷 (第3,7,14天) 和电子病历收集的数据.
主要成果:
- 300名患者 (平均年龄50岁) 患有细胞炎,主要是下肢 (75%).
- 到第3天,细胞炎特征的最大改善,到第14天逐渐改善.
- 在第14天持续的红血 (41%) 和胀 (37%);热感最常消失.
- 14日治愈评估中的差异:临床医生 (85.8%) 与患者 (52.8%).
结论:
- 预计到第3天就会有临床反应,随着时间的推移,改善会慢一些.
- 超过三分之一的患者在第14天经历持续的红血或胀.
- 与临床医生相比,患者不太可能认为细胞炎在第14天治愈.
- 未来的研究应该整合患者和临床医生的评估,以获得更清晰的治愈/失败定义.
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