检查和非检查因素与超声波对深静脉血栓形成的积极性之间的相关性
Eric Pepin1, Jacob Player2, Yin Xi2
1Radiology Associates of North Texas, 816 W Cannon St., Forth Worth, TX 76104, USA; University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA.
Journal of the American College of Radiology : JACR
|April 29, 2025
概括
深静脉血栓症 (DVT) 超声波结果根据患者和提供者因素而异. 了解这些变异可以提高诊断准确度和对DVT诊断的资源使用.
科学领域:
- 血管成像 血管成像
- 诊断性的超声波检查
- 改善医疗质量 改善医疗质量
背景情况:
- 超声波是诊断深静脉血栓症 (DVT) 的主要成像方法.
- 临床决策规则和实验室测试指导DVT超声波的订购.
- 患者和非患者因素可能会影响DVT超声波检查结果.
研究的目的:
- 调查患者和非患者因素对深静脉血栓塞 (DVT) 超声检查结果的影响.
- 确定影响DVT诊断的变量和超声检测结果的群间差异.
主要方法:
- 分析两个机构住院和急诊室超声检查 (2015-2022) 的结构化报告.
- 检查,提供者和患者因素与DVT超声波结果的比较.
- 统计分析以确定各种因素对考试结果的影响.
主要成果:
- 总体而言,急性或新的非小牛DVT发病率为10.4%.
- 在住院患者,上肢患者,体重指数较低的患者中观察到较高的DVT率,以及在DVT超声经验较少的医生订购检查时.
- 没有发现对DVT超声波结果的一周或一天的时间有显著影响.
结论:
- 深静脉血栓症 (DVT) 超声波结果受到检查,设施,患者和提供者的特征的影响.
- 结果可以为机构质量监测和对DVT诊断的资源分配提供信息.
- 需要进一步的研究来探索影响诊断测试结果的因素.
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