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计算机断层扫描在急诊室患者中使用的趋势,这些患者患有脚和脚创伤

Soham Ghoshal¹, Alexander H King¹, Michael Pang¹

¹Harvard Medical School, Boston, MA, USA; Department of Radiology, Massachusetts General Hospital, Boston, MA, USA; Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center (MESH IO), Massachusetts General Hospital, Boston, MA, USA.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|April 17, 2025

概括

创伤患者的足部和脚计算机断层扫描 (CT) 扫描显著增加,但积极的发现减少. 这一趋势表明,CT成像在急诊室可能被过度使用.

科学领域:

放射学和成像学放射学和成像学
紧急医疗紧急医疗
骨科创伤的创伤是什么

背景情况:

脚和脚创伤是急诊室常见的情况.
计算机断层扫描 (CT) 经常用于评估脚和脚损伤.
了解CT利用和诊断产量的趋势对于优化患者护理至关重要.

研究的目的:

评估5年内每次创伤患者的脚/脚CT检查订单的趋势.
为了评估这些CT检查的阳性率.
为了确定与CT扫描相关的因素,订购足部和脚的创伤.

主要方法:

在一级创伤中心 (2016-2021) 追溯分析了9845名患有脚创伤的患者 (2016-2021年).
统变奇方位分析用于比较患者表现和成像率.
后勤回归用于识别与CT扫描订单相关的因素.

主要成果:

脚/脚CT的订单从2.4%增加到6.6% (p < 0.001).
CT阳性率从95.2%下降到84.1% (p < 0.001). 在美国,CT阳性率从95.2%下降到84.1% (p < 0.001).
较年轻的年龄,较晚的访问年份,晚上到达和EMS运输等因素与较高的CT订单率有关. 根据种族和保险类型发现的差异.

结论:

对于足创伤的CT利用有显著的增加,并伴随着积极发现的减少.
需要进一步的研究来了解这种趋势的驱动因素,并优化成像协议.
通过工作流程或协议调整提高成像效率的潜力需要进行调查.

关键词:

紧急情况部门的急救部门.足部和脚成像检查足手术手术足手术手术图像利用利用的成像利用方法骨科创伤的创伤是什么社会经济差异和社会经济差异图像成像中的趋势.

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