在急诊室诊断急性结肠分泌炎的预测得分:一项回顾性研究
Siriwimon Tantarattanapong1, Choasita Glawsongkram1, Wasuntaraporn Pethyabarn2
1Department of Emergency Medicine, Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110, Songkhla, Thailand.
一个新的评分系统有助于诊断急性椎炎在急诊室. 关键因素包括年龄,疼痛持续时间,病史和缺少某些症状,有助于及时诊断和适当的成像.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 临床诊断 临床诊断 临床诊断
背景情况:
- 急性管炎在急诊室经常被错误诊断.
- 现有的诊断分数仅限于左侧分炎.
- 需要一个通用的评分系统来指导诊断和CT成像的适当性.
研究的目的:
- 开发一种预测得分,用于诊断急性分炎,不论受影响的侧面.
- 为了提高急性椎炎在紧急情况下的诊断准确度.
主要方法:
- 成年患者急性腹痛的回顾性单中心研究.
- 多变量逻辑回归分析以确定重要的预测因素.
- 在临床评分系统中用于因素选择的Akaike信息标准.
主要成果:
- 在424名患者中,有72人 (17%) 被诊断患有急性分歧炎.
- 有意义的预测因素包括:年龄≥60岁,疼痛持续时间≥48小时,分泌器史,没有恶心/吐,没有厌食症,没有心率低下,以及腹部保护.
- 评分≥4显示了73.24%的敏感性和80.40%的特异性急性管炎.
结论:
- 年龄,疼痛持续时间,分泌器史,腹部保护,以及不出现恶心,吐,厌食症和心率低下是关键预测因素.
- 预测得分为4或更高的强烈表明急性管炎.
- 没有任何特定的因素与复杂的膜炎有关.
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