带有和没有计算机断层扫描的腹腹结果:一个回顾性队列研究
A Kadrie1, C Ward2, M Chanamolu2
1School of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, U.S.A.
The Laryngoscope
|July 8, 2024
概括
用于诊断腹腹 (PTA) 的计算机断层扫描 (CT) 扫描与更多的抗生素,阿片类药物,类固醇,急诊室访问和反复的PTA有关. 需要进一步的研究来证实在疑似PTA病例中的这些发现.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 传染性疾病 传染性疾病
背景情况:
- 腹腹 (PTA) 是一种常见的深部感染.
- 诊断可以通过临床或计算机断层扫描 (CT) 进行.
- CT可能导致过度诊断和不必要的干预,而临床诊断可能会错过可治疗.
研究的目的:
- 评估CT扫描在诊断疑似腹腹 (PTA) 的实用性和影响.
- 为了比较那些被诊断患有PTA的患者与CT成像和没有CT成像之间的患者结果.
主要方法:
- 使用TrinetX数据集对疑似PTA患者的回顾性队列分析.
- 用CT成像检查的PTA患者与没有CT的患者之间的结局的比较.
- 测量结果包括切口和排水率,腺切除术,复发性PTA,呼吸道紧急情况,重复ED访问和药物使用 (抗生素,阿片类药物,类固醇).
主要成果:
- 通过CT诊断出PTA的患者,接受抗生素 (OR 3.043),阿片类药物 (OR 1.614),类固醇 (OR 1.373) 的几率增加.
- 此外,CT组更有可能返回急诊室 (ED) (OR 5.900),并经历反复的PTA (OR 1.943).
- 两组之间手术排水率,腺切除术或呼吸道阻塞率没有显著差异.
结论:
- 在腹腹 (PTA) 诊断中CT扫描的利用与抗生素,阿片类药物和类固醇的处方增加有关.
- CT使用也与更高的急诊室再访率和反复的PTA相关.
- 需要进行进一步的前性研究,以确定CT诊断病例中患者敏度更高是否解释了这些观察到的负面结果.
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