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城综合性评估乳房挖掘部症状 (PCAPES) 的综合性评估
Dawn E Jaroszewski1, Mohamed R Aly1, Kenan A Shawwaf1
1Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, AZ, USA.
Journal of thoracic disease
|January 20, 2025
概括
挖掘性乳房 (PE) 显著影响成年人,导致从呼吸问题到心理社会困扰的各种症状. 一项名为PCAPES的新调查有效地评估了PE患者的这些广泛症状.
科学领域:
- 心血管医学 心血管医学
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
背景情况:
- 胸部挖掘 (PE) 可以导致心肺压缩,导致各种症状和心理社会影响.
- 评估成年PE患者广泛症状的验证调查是有限的.
- 开发并验证了一项全面的症状调查,结果在这里介绍.
研究的目的:
- 开发和验证一个综合性症状调查,以成人患者的乳房挖掘.
- 评估成年PE患者经历的症状范围和患病率.
- 为了确定不同患者人口统计学中的特定症状负担.
主要方法:
- 进行了一项观察和验证研究.
- 城全面评估乳房挖掘症状 (PCAPES) 调查是在三个阶段开发和验证的.
- 该研究包括了432名在2020年10月至2021年9月期间在亚利桑那州梅奥诊所评估PE的患者.
主要成果:
- 432名患者完成了PCAPES调查 (平均年龄为30岁,57.8%是男性,Haller指数中位数为4.2).
- 常见的症状包括神经症状 (头痛74%,头67%),显著的心血管限制 (70%报告运动限制) 和肺部问题 (>80%报告呼吸受限).
- 报告了胃肠道症状 (消化不良,食后呼吸不良),心理困扰 (避免胸部可见性68%,外观问题80%,抑郁/焦虑65%),以及女性和老年患者的症状严重程度更高. 女人也报告说,她们感觉更容易被医生驳回.
结论:
- 胸部挖掘表现出广泛的症状,影响多个器官系统和心理社会福祉.
- 综合性症状评估,如经过验证的PCAPES调查,对于评估成年PE患者至关重要.
- 这些发现支持需要进行彻底的评估,以指导PE患者的进一步测试和管理.
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