治疗急性无并发性膜炎并遵守当前的指导方针 - - 一项多中心的SNAPSHOT研究
Helene R Dalby1,2, Alessandro Orrú3, Frida Sundh4
1Colorectal Unit, Department of Surgery, and Centre for Clinical Research, Uppsala University, Västmanlands Hospital Västerås, Västerås, Sweden. helecl@rm.dk.
之前参与临床研究的医院更好地遵守急性无并发性分泌体炎 (AUD) 管理指南. 这表明临床试验经验改善了对AUD的指导方针实施.
科学领域:
- 胃肠病学 胃肠病学
- 临床研究 临床研究
- 医疗保健管理的管理
背景情况:
- 有关急性无并发性分泌体炎 (AUD) 管理的指导方针.
- 对AUD的临床实践中的变化是常见的.
- 之前参与临床研究对遵守指导方针的影响尚不清楚.
研究的目的:
- 确定以前参与临床试验是否会影响遵守AUD管理指南.
- 为了比较医院之间的AUD管理实践,有或没有先前的临床试验经验.
主要方法:
- 在六家医院对449名AUD患者进行了回顾性队列研究.
- 在参与AVOD试验的医院和没有参与的医院之间,比较抗生素的使用和住院治疗与门诊治疗.
- 使用皮尔森的千二测试进行统计分析.
主要成果:
- 在AVOD和非AVOD医院之间观察到AUD管理的显著差异.
- 与非AVOD医院相比,AVOD医院使用抗生素的频率较低 (7%对38%),并管理较少的住院患者 (18%对38%).
- 在所有参与的医院中,患者的特征是可比的.
结论:
- 虽然大多数AUD患者按照指导方针进行管理,但存在显著的医院间差异.
- 之前参与临床研究可能会增强对AUD管理指南的知识和遵守.
- 临床试验经验似乎与更保守的AUD管理策略相关.
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