在成人虚拟护理中使用修改的中心标准的可行性
Ahmed Allabban1,2, Samay Shah1, Neal Sikka1
1Department of Emergency Medicine, George Washington University, Washington, DC, USA.
Primary health care research & development
|February 26, 2025
概括
修改后的中心标准 (MCC) 有效指导在远程医疗评估期间对 estreptococcal 喉炎的测试. 这种临床工具在面对面评估和远程咨询之间表现出良好的可靠性.
科学领域:
- 临床医学 临床医学
- 传染性疾病 传染性疾病
- 远程医疗服务是远程医疗服务.
背景情况:
- 链球菌喉炎的诊断通常依赖于临床决策工具,如修改的中心标准 (MCC).
- 远程评估在准确应用诊断标准方面提出了独特的挑战.
- 对于疑似链球菌喉的远程医疗中MCC的实用性需要进一步调查.
研究的目的:
- 评估远程医疗服务提供商 (TP) 应用的修改中心标准 (MCC) 的可靠性,与面对面的评估相比.
- 为了确定MCC是否可以有效地指导在远程评估环境中对链球菌喉炎的测试.
主要方法:
- 一项涉及成人患者 (≥18岁) 的前性研究,患有喉疼痛和症状持续时间≤3天.
- 经过修改的Centor标准 (MCC) 被一名临床医生和两名盲目的远程医疗提供者 (TP) 记录下来.
- 测试者之间的可靠性是使用科恩的卡帕计算的,测试时的值为≥2,非测试时的值为<2.
主要成果:
- 招募了40名患者,平均年龄为32岁,43%是男性.
- 在面对面和远程医疗提供者之间,科恩的kappa为0.68,表明了实质性的协议.
- 远程医疗 (TP) 提供者之间完全达成一致.
结论:
- 修改后的中心标准 (MCC) 显示,面对面和远程医疗提供者之间在诊断 estreptococcal 喉炎方面的可靠性是相当大的.
- 在远程患者评估期间,MCC是指导诊断测试决策的可行工具.
- 远程医疗提供者可以可靠地应用MCC,支持其在远程医疗环境中用于喉疼痛评估.
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