对诊断动脉炎的成本效益分析
Isabel Del Blanco Alonso1, Álvaro Revilla Calavia1, Laura Saiz-Viloria1
1Servicio de Angiología y Cirugía Vascular, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Reumatologia clinica
|April 13, 2024
概括
使用临床标准结合多普勒超声波或活检诊断关动脉炎 (TA),以及暂停皮质类固醇,大大降低了成本. 这些策略为诊断这种常见的血管炎提供了相当大的节约.
科学领域:
- 类风湿病学 类风湿病学
- 系统性血管炎 系统性血管炎
- 卫生经济学 卫生经济学
背景情况:
- 时间性动脉炎 (TA) 是系统性血管炎的最常见形式.
- 目前的诊断依赖于美国风湿病学学院的标准,标准治疗是高剂量的皮质类固醇.
- 需要评估TA诊断和治疗策略的经济影响.
研究的目的:
- 评估时间性动脉炎 (TA) 的诊断成本.
- 对TA的各种诊断 (临床,活检,多普勒超声波) 和治疗 (皮质类固醇悬浮) 策略进行成本效益分析.
主要方法:
- 在2012年至2021年期间被诊断为TA的患者进行了一项观察性回顾性研究.
- 收集的数据包括人口统计,并发症和暗示TA的症状.
- 使用美国风湿病学学院评分 (ACR-SCORE) ≥3来确认诊断;分析了诊断和治疗修改的成本.
主要成果:
- 头痛,部疼痛和关节障碍是TA诊断的重要指标.
- 患有多普勒超声波光环或阳性活检的患者显示ESR和CRP升高.
- 诊断成本为414.7欧元/患者;ACR-SCORE ≥3与多普勒超声波 (167.2欧元/患者) 和活检 (339.75欧元/患者) 显示显著节省 (分别为59.6%和18%).
结论:
- 临床症状,如头痛,部疼痛和关节障碍是TA的关键预测因素.
- 升高的ESR和CRP预测了活检结果和超声波光的阳性.
- 使用ACR-SCORE ≥3与多普勒超声波或活检,以及皮质类固醇悬浮剂,为TA管理提供了一种具有成本效益的方法.
相关概念视频
01:14Temperature Measurement Sites
1.7K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
1.7K
01:19Assessing Body Temperature - Temporal Artery
546
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
546
01:13Equipments Used to Measure Body Temperature
996
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
996