相关实验视频
Updated: May 15, 2025
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A Porcine Model of Acute Autologous Pulmonary Embolism
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使用电话招聘进行调整-不太可能的肺栓塞检测:一项试点研究评估评估其安全性和效率的可行性
Nicole F Morris1, Rasha Georgie2, Christine L D'Arsigny3
1Medicine, Queen's University, Kingston, Ontario, Canada nicole.morris@queensu.ca.
Emergency medicine journal : EMJ
|May 13, 2025
概括
对肺栓塞 (PE) 排除研究的电话招聘是可行的,实现了高招聘和随访率. 然而,错过的合格患者率超过了目标,这表明PE诊断策略需要改进.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 诊断策略 诊断策略
背景情况:
- 传统的肺栓塞 (PE) 排除研究在急诊室 (ED) 招募,面临越来越多的不切实际性.
- 在ED出院后通过电话招募患者可能会提供更可行的替代方案.
研究的目的:
- 通过电话联系评估招募和跟踪患者参加ED PE测试研究的可行性.
- 评估基于电话的PE研究的招聘,错过的符合条件和后续率.
主要方法:
- 在加拿大安大略省的一家ED和紧急护理中心进行前性试点研究.
- 使用调整-不太可能规则测试PE的成年患者在出院后被联系以征求同意.
- 通过医疗记录和远程联系 (电话,短信,电子邮件) 对静脉血栓栓塞 (VTE) 事件进行90天的随访.
主要成果:
- 在474名符合条件的患者中,招募了200名;中位数的招募率为7名参与者/地点/周.
- 中位数错过的合格率为6名患者/地点/周,超过2.0的目标.
- 随访率为96.5%,在随访期间诊断出PE的比例为0.7%.
结论:
- 对于PE研究的电话招聘没有达到预定义的错过合格率门.
- 招聘和随访率令人鼓舞,这表明这种策略可能会有修改.
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