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与早期计算机断层扫描成像相关的因素 儿童住院患有严重轨道感染
Winnie W Yu1, Cornelia M Borkhoff2,3,4, Sanjay Mahant2,3,4,5
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
对于严重的儿科轨道感染,早期CT成像与男性性别,儿童住院,专家咨询和特定的临床症状 (如proptosis) 有关. 年龄较小的儿童接受CT扫描的频率较少.
科学领域:
- 儿科急救医学 儿科急救医学
- 眼科医生 眼科 眼科
- 放射学 放射学是一门学科.
背景情况:
- 儿童严重的轨道感染需要及时诊断和治疗.
- 计算机断层扫描 (CT) 成像对于评估轨道感染的程度至关重要.
- 了解影响早期CT成像决策的因素对于优化护理至关重要.
研究的目的:
- 在急诊室 (ED) 呈现24小时内接受CT成像的相关因素的识别,在住院的儿童严重的轨道感染.
- 在儿科轨道感染的早期CT成像方面为临床决策提供信息.
主要方法:
- 多中心回顾性队列研究 (2009-2018).
- 包括患有严重轨道感染的住院儿童 (2个月至18岁).
- 多变量修改的波桑回归分析了与早期CT成像相关的因素.
主要成果:
- 在1144名儿童中,43.2%的儿童在24小时内接受了CT.
- 早期CT与男性性别,儿童住院,眼科/耳鼻科咨询,质和眼睛胀关闭有关.
- 5岁以下的儿童不太可能接受早期CT.
结论:
- 患者和医院因素影响儿科严重轨道感染的早期CT成像决策.
- 虽然一些因素与感染严重程度相关,但炎症标志物与早期CT无关.
- 调查结果有助于理解临床管理和CT成像指示.
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