首席投诉和计算机断层扫描在急诊室的结果:一个三年的回顾性队列研究
Cheng-Yi Fan1, Chi-Hsin Chen1, Jiun-Wei Chen1
1Department of Emergency Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, 300, Taiwan.
患者首席投诉显著影响计算机断层扫描 (CT) 扫描结果在急诊室 (ED) 复诊. 腹部疼痛强烈预测积极的腹腔皮层CT发现,指导有效的诊断成像.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 临床决策 临床决策
背景情况:
- 计算机断层扫描 (CT) 在急诊室 (ED) 常见,患者在72小时内返回.
- 在指导这些患者使用CT时,首席投诉的实用性尚不清楚.
研究的目的:
- 调查患者首席投诉与计算机断层扫描 (CT) 在急诊室 (ED) 复诊中的发现之间的关联.
- 确定首席投诉是否有效预测了积极的CT结果.
主要方法:
- 成年患者返回ED的回顾性队列研究 (2019-2021年).
- 收集的数据包括人口统计,先前存在的疾病,主要投诉和CT地区.
- 使用后勤回归分析来评估首席投诉和积极的CT结果之间的关系.
主要成果:
- 在7699次复诊中,有1202人 (15.6%) 接受了CT扫描.
- 腹部疼痛和胃肠道症状与更高的阳性腹腔皮层CT率 (OR 2.83) 有关.
- 中枢神经系统和心肺病情与新的阳性CT发现没有关联或存在负相关性.
结论:
- 患者的主要投诉与急诊部 (ED) 患者再访时CT扫描的诊断收益率相关.
- 医生应该利用首席投诉数据来优化CT成像对返回ED患者的使用.
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