患者的特征,干预措施和结果,以腹部疼痛呈现给急诊室的患者
Summer Ghaith1, Ronna L Campbell2, Zachary Ginsberg3
1Mayo Clinic Alix School of Medicine, Scottsdale, Arizona, USA.
概括
低风险复发性腹痛患者的结果与低风险非复发性疼痛患者的结果相似,这表明风险分层是急诊室评估的关键.
科学领域:
- 紧急医疗 紧急医疗
- 临床风险分层的临床风险分层
- 腹痛管理 腹痛管理
背景情况:
- 腹部疼痛是一种常见的急诊室 (ED) 呈现,具有不同的病因.
- 风险分层工具对于适当的ED资源分配和患者管理至关重要.
- 紧急诊所合理和适当护理指南 (GRACE-2) 提供了反复出现的腹痛的风险类别.
研究的目的:
- 为了表征患者提出EDs与腹部疼痛.
- 为了验证低风险复发性腹痛的GRACE-2风险类别.
- 为了比较低风险的复发性和非复发性腹痛表现之间的结果.
主要方法:
- 从2019年11月到2023年11月,对21个ED进行了回顾性队列研究.
- 使用GRACE-2分类的患者分为复发性/非复发性和低/高风险组.
- 主要结局:72小时返回ED和30/90天死亡率.
主要成果:
- 包括162,494次访问;4.3%的人患有低风险的复发性腹痛.
- 低风险的复发性和非复发性疼痛组具有相似的ED停留时间和出院率.
- 低风险的复发性疼痛的30天死亡率与低风险的非复发性疼痛相似 (0.4%对0.3%),但低于高风险的复发性疼痛 (0.4%对2.3%).
结论:
- 低风险的复发性腹痛患者与低风险的非复发性疼痛患者有着相似的结果.
- 风险分层 (低风险与高风险) 似乎比单独的疼痛复发更能预测结果.
- 研究结果支持使用风险特征来针对腹痛患者进行ED评估.
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