在需要重复计算机断层扫描成像的患者中对比度过敏的临床结果和管理
Pearlyn Mei Ping Wong1, Si Min Chiow1, Chau Hung Lee1
1Department of Diagnostic Imaging, Tan Tock Seng Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|June 21, 2024
概括
一个新的工作流程,用于管理患有过敏对有的对比剂 (ICM) 过敏的患者,显著减少了推迟的CECT扫描和过敏反应. 这有助于改善患者护理,并减少医疗保健系统的负担.
科学领域:
- 放射学 放射学是指放射学
- 过敏和免疫学 过敏和免疫学
- 优化医疗工作流程的优化
背景情况:
- 患有过敏反应过往对有的对比介质 (ICM) 过敏反应的患者经常面临对比较增强计算机断层扫描 (CECT) 的挑战.
- 当前的管理协议可能导致推迟,转换或取消CECT研究,影响患者护理和资源利用.
研究的目的:
- 审查对ICM先前过敏的患者修订的管理工作流程的结果.
- 建议改进工作流程,以提高CECT.ECT的患者安全和程序成功.
主要方法:
- 门诊患者具有潜在的对比度过敏性被分为几率类别.
- 管理选项包括替代ICM,相同的ICM或过敏学家转诊.
- 结果比较了干预前后的结果,评估过敏反应和程序的成功.
主要成果:
- 干预后,推迟的CECT访问率从81.0%降至34.7%.
- 过敏反应显著减少,从42.9%降至14.3%.
- 过敏学家的评估导致6名患者继续ICM,4名患者弃权,2名患者等待进一步测试.
结论:
- 放射科医生的干预和改善的工作流程减少推迟/取消CECT研究和不良过敏事件.
- 放射科医生和过敏学家之间的合作对需要未来对比成像的患者是有益的.
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