计算机断层扫描脑扫描在过量服用的被直管患者中的实用性
Michael Lousick1, Serena Edwards1, Gerben Keijzers1,2,3
1Emergency Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
Emergency medicine Australasia : EMA
|September 30, 2024
概括
常规计算机断层扫描脑 (CTB) 扫描用于无临床指示的输入药物过量患者是不合理的. 这些扫描显示了这个群体的诊断产量非常低,表明不必要的资源利用.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 毒理学 毒理学 毒理学
背景情况:
- 药物过量是急诊室访问的常见原因,通常需要输管.
- 在这些患者中,计算机断层扫描脑部 (CTB) 扫描有时在输管后进行.
- 在输管过量患者中,常规CTB扫描的诊断收益率尚未得到充分确立.
研究的目的:
- 描述CTB扫描在因药物过量而被直管的患者的诊断产量.
- 评估这个患者队列中常规CTB扫描的必要性.
主要方法:
- 追溯性描述性研究.
- 利用来自澳大利亚两个急救部门 (ED) 的注册表数据.
- 在2021年2月至2022年6月期间收集的数据.
主要成果:
- 206名患者被输入;159人 (77%) 接受了输入后的CTB扫描.
- 在159人中,只有38人 (24%) 获得了扫描的证据说明 (头部损伤,发作),收益率为5.3%.
- 76%的患者 (121/159) 没有任何迹象,CTB收益率为0%.
结论:
- 在没有临床指示的被输入过量剂量的患者中进行常规CTB扫描是不合理的.
- 没有明确指示的成像产生最小的诊断信息.
- 这表明需要重新评估当前对这个患者群体的成像协议.
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