在老年人生命的最后6个月中重复的放射性手术:一项回顾性研究
Joseph Hawkins1, Sam Beardsmore-Rust2, Myra Adra2
1Palliative Care, ASPH, Chertsey, Surrey, UK joseph.hawkins@nhs.net.
BMJ supportive & palliative care
|August 27, 2024
概括
老年患者 (≥80岁) 在他们的最后6个月经历了众多放射性手术. 这种高利用率,包括CT和MRI扫描,表明临终期临近医疗化的增加,可能会影响资源配置.
科学领域:
- 老年医学 老年医学
- 放射学 放射学是一门学科.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 放射性成像对于临床诊断至关重要.
- 临近生命末期的老年患者的放射性手术的范围是研究不足的.
- 过度利用可能会超过利益,风险和资源考虑.
研究的目的:
- 调查老年患者在生命最后6个月内使用放射性手术的情况.
- 在老龄化人口中量化生命终端放射性成像的负担.
主要方法:
- 追溯分析80岁及以上的每四名患者的数据.
- 从2021年7月4日至2021年12月30日期间在国家卫生服务医院死亡的患者收集的数据.
- 记录了生命最后6个月内的所有放射性手术,与患者年龄相关联.
主要成果:
- 包括96名老年患者,共进行了699次放射性手术.
- 仅CT和MRI扫描的估计年度成本就超过312,000英,对于在一个中型医院的80岁以上的患者,在过去的6个月内.
- 在生命的末期阶段大量利用成像服务.
结论:
- 在临近生命终点的老年患者身上,进行了大量的放射性手术.
- 这些发现与国家趋势一致,即医疗化程度增加,死亡过程的认知不足.
- 强调需要对终生成像实践进行批判性评估.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
88
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
88
Radiological Investigation I: X-ray and CT
219
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
219
Radiological Investigation II: MRI and Ventilation Perfusion Scan
107
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
107
Imaging Studies for Cardiovascular System III: X-Ray
160
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
160
Imaging Studies II: Positron Emission Tomography and Scintigraphy
97
Positron Emission Tomography (PET) is a medical imaging technique that provides crucial insights into the body's physiological functions at a molecular level. It is an indispensable resource for diagnosing, staging, and monitoring various illnesses, notably cancer, neurological disorders, and cardiovascular conditions.
Fundamental Principles of PET
Fundamental Principles of PET
97
Imaging Studies I: CT and MRI
208
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
208


