在患有尾炎的儿科患者的超声波之后,计算机断层成像的同时使用率
Jack H Scaife1, Stephanie E Iantorno1, Brian T Bucher1
1Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
The Journal of surgical research
|August 5, 2024
概括
对尾炎诊断的超声波使用增加与计算机断层扫描使用较少相关. 然而,存在差异,白人儿童和来自较低社会经济背景的儿童更有可能接受并发成像.
科学领域:
- 儿科成像学 儿科成像学
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 建议在尾炎评估时进行超声波 (US),以减少辐射暴露.
- 美国和计算机断层扫描 (CT) 用于尾炎诊断之间的关系需要进一步澄清.
研究的目的:
- 调查超声波利用率增加与儿童急性尾炎CT扫描率之间的相关性.
- 分析与并发成像率相关的患者人口统计和社会经济因素.
主要方法:
- 使用2019年全国紧急情况部门样本进行的回顾性队列研究.
- 分析了485家医院的23,976例儿科尾炎病例.
- 一般化顺序逻辑回归与反向概率权重,以评估成像利用率.
主要成果:
- 美国使用率更高与并发成像 (美国和CT) 有负相关性.
- 与白人儿童相比,黑人和西班牙裔儿童出现在高并发成像率的医院的几率较低.
- 来自较低收入四分位数的患者在高并发成像率的医院呈现的几率更高.
结论:
- 超声波的使用增加与计算机断层扫描在儿科尾炎诊断中的使用减少有关.
- 基于种族和社会经济地位观察到并发成像率的差异,这表明在护理方面存在潜在的不平等.
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