评估护理位置在尾炎成像中的作用:一项比较研究
Monique Motta1, Cheryl Brown2, Tamar Levene2
1Department of Surgery, Memorial Healthcare System, Hollywood, FL, USA.
The American surgeon
|July 12, 2025
概括
儿童尾炎成像因呈现地点而异,外科医院使用CT扫描比儿童医院更多. 标准化成像实践可以减少儿童不必要的辐射暴露.
科学领域:
- 儿科手术 儿科手术
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 儿童尾炎评估成像中的差异导致不必要的辐射暴露.
- 这可能会导致儿童的长期健康风险.
- 需要进行标准化努力,以尽量减少辐射暴露.
研究的目的:
- 根据患者呈现部位,评估儿科尾炎手术前初始成像方面的差异.
- 确定标准化成像实践和减少辐射暴露的机会.
主要方法:
- 用国家外科质量改善计划 (NSQIP) 数据库对儿科尾切除患者 (2022-2024) 的回顾性审查.
- 在最初在儿童医院 (CH) 评估的患者和来自外部医院 (OSH) 转诊的患者之间的成像模式的比较.
主要成果:
- 在OSH患者 (63%) 中,CT利用率明显高于OSH-Sister (4%) 和CH (2%) 患者.
- 仅超声波成像在CH中最常见 (90%),相比之下,OSH-Sister (66%) 和OSH (16%).
- 医疗卫生部门对无并发症 (92%) 和并发症 (80%) 尾炎的超声波使用率保持高,而在复杂病例 (42%) 中,OSH对CT的使用率较高.
结论:
- 在图像利用,特别是CT扫描中存在显著差异,对于基于呈现地点的儿科尾炎.
- 了解转诊机构的做法对于简化患者管理至关重要.
- 优先考虑辐射管理标准对于减轻儿童不必要暴露于辐射的风险至关重要.
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