医生年龄与急诊室成像利用之间的关联 腹部疼痛评估
Lauren B Querin1, Alyssa McGary2, Nicole R Hodgson1
1Department of Emergency Medicine, Mayo Clinic Arizona, Phoenix, Arizona.
The Journal of emergency medicine
|April 27, 2025
概括
高级医生订购较少的腹部成像和较少的再访,而不会影响住院或急诊室停留时间. 这表明经验丰富的医生可以有效地优化资源使用.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 医疗成像医学成像
背景情况:
- 对于腹部疼痛的急诊室 (ED) 访问是资源密集型的,涉及大量的实验室和先进的成像利用.
- 虽然研究了影响资源使用的因素,但医生年龄对订购腹部成像的具体影响仍然不清楚.
研究的目的:
- 调查医生年龄与在急诊室环境中使用腹部成像之间的相关性.
- 分析二次结果,包括住院率,ED停留时间 (LOS) 和72小时再访率.
主要方法:
- 追溯分析了多个ED的5年患者访问数据.
- 主要结局:使用腹部成像. 二次结果:住院,ED LOS,72小时再访.
- 医生年龄分为:<36,36-44,45-54和≥55岁. 采用了多变量回归模型.
主要成果:
- 高年级医生 (≥55岁) 与年轻的医生 (<36岁) 相比,订购腹部成像的几率较低.
- 更高级的医生组显示,72小时再访的几率较低,入院或ED LOS没有显著差异.
- 中年医生组 (36-44岁和45-54岁) 的住院几率高于最年轻的队列.
结论:
- 在ED环境中,更多的高级医生对腹部疼痛使用较少的成像资源,并具有可比的住院和ED LOS结果.
- 高级医生与减少72小时的再访有关,这表明有效的患者管理和潜在的更好的资源管理.
- 需要进一步的研究来确定有助于在资源利用中观察到这些关联的特定医生特征.
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