胃肠内镜不良事件的全面审计:强调质量指标和经济影响与AIG-AGREE修改
Anudeep Katrevula1, Neeraj Singla1, Hardik Rughwani1
1Medical Gastroenterology, AIG Hospitals, Hyderabad, India.
这项研究审计了胃肠内镜中的不良事件 (AE),与AGREE和ASGE分类相关联. 新的AIG-AGREE修改整合了经济影响,这对于评估内镜AEs至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床审计 临床审计
- 卫生经济学 卫生经济学
背景情况:
- 消化肠道内镜中的不良事件 (AE) 需要强大的分类和评估.
- 像AGREE和ASGE这样的现有分类需要与经济影响评估进行整合.
研究的目的:
- 在胃肠内镜中对AEs进行临床审计.
- 为了将AEs的AGREE和ASGE分类联系起来.
- 引入AIG-AGREE修改,将经济影响纳入AE分类.
主要方法:
- 亚洲胃肠病研究所的前性观察研究 (2021年7月至12月).
- 使用美国胃肠内镜学会 (ASGE) 和AGREE系统分类的AE.
- AIG-AGREE修改是为了扩大经济影响 (α-ε) 而开发的.
主要成果:
- 在42,471次内镜检查中发现了220个AE.
- 在AGREE和ASGE AE等级之间存在显著的正相关性 (r=0.79,P<0.001).
- 严重的AE (AGREE III-V) 显示出比不严重的AE (AGREE I-II) 更大的经济影响 (β-ε).
结论:
- 修改AIG-AGREE是一种新的方法来评估胃肠内镜中AEs.
- 将经济因素纳入AE分类对于全面评估至关重要.
- 这种修改有助于理解内镜相关的AE的全部影响.
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