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诊断和治疗肺栓塞的实践变化

Devesh Thakkar¹, Frances Garden², John Nguyen¹

¹Department of Respiratory and Sleep Medicine, Liverpool Hospital, Sydney, Australia.

Pulmonary medicine

|November 12, 2024

概括

诊断肺栓塞 (PE) 的临床实践在医生之间有很大的差异,即使是按照既定的指导方针. 这项研究强调了PE患者的压缩超声波和右心室评估等诊断测试中的不一致性.

科学领域:

医学研究医学研究
临床诊断临床诊断临床诊断
心脏病学心脏病学

背景情况:

静脉血栓栓塞,包括肺栓塞 (PE),构成了全球健康负担.
现有的PE诊断和管理的国际指南并没有消除观察到的临床实践变化.

研究的目的:

调查和量化肺栓塞 (PE) 的诊断和管理策略的临床变异.
将当前的临床实践与现有的PE诊断和管理指南进行比较.

主要方法:

追溯队列研究的设计.
在澳大利亚的第三级推中心分析了300名被诊断患有PE的患者的电子病历.
包括期间:2018年11月至2020年1月.

主要成果:

在被诊断为PE患者的压缩超声波的利用中观察到显著的差异.
在对右心室功能的急性调查中发现了不一致性.
在专家随访期间,在重复成像的安排中发现了可变性.
在诊断PE的压缩超声波,右心室评估和重复成像协议方面存在指导方针差异.

结论:

临床实践中PE诊断和管理的变化可能源于医生的偏好或特定诊断测试的有限证据.
需要进一步进行强有力的研究,以建立基于证据的指导方针,用于PE管理中的诊断调查.

关键词:

临床变化的临床变化.基于证据的医学是基于证据的医学.肺栓塞肺栓塞是一种肺栓塞.静脉血栓塞栓症是一种静脉血栓塞栓.

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