不同的工作时间对结肠镜检查中结肠直肠多的错误诊断的影响
1Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, No.300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China.
BMC gastroenterology
|August 26, 2024
概括
在48.1%的患者中,错过结直肠多的诊断发生,在工作期结束时的比率更高. 内镜师的疲劳可能导致错过诊断,特别是在下午.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 诊断的准确性 诊断的准确性
背景情况:
- 结肠直肠多很常见,在结肠镜检查期间错过诊断可能导致治疗延迟.
- 了解影响诊断准确性的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查不同工作时间对结肠镜检查期间错过结肠直肠多的诊断率的影响.
主要方法:
- 在2022年7月至12月期间接受结肠镜检查的482名患者的回顾性分析.
- 在第二次结肠镜检查中新发现的息肉患者被归类为错过诊断的患者.
- 工作时间分为工作,接近工作结束,以及早上和下午的延迟工作.
主要成果:
- 结直肠多的整体错过率为48.1%,其中大多数错过的病变是在横直肠和上升直肠.
- 患者年龄是错误诊断的一个重要风险因素.
- 虽然工作时间没有统计学上显著的影响,但失踪率显示出工作结束和延迟周期的趋势越来越大,特别是在下午,其中肠道准备也较差.
结论:
- 在工作结束时,错过的多重体诊断的趋势越来越大,需要得到临床关注.
- 内镜师的疲劳和工作负担可能会导致诊断准确度降低,强调需要制定减轻这些影响的策略.
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