海马图里亚病房:一个观察多中心研究 (WASHOUT) - 研究协议
Nikita Bhatt1,2, Kevin Byrnes2,3, Simona Ippoliti2,4
1Urology, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK.
BMJ open
|August 17, 2025
概括
这项研究检查了住院患者的血液 (尿液中的血液) 管理,揭示了不一致的护理和长时间的住院. 它旨在改善患者的治疗结果,并为泌尿病学入院的新指南提供信息.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床研究 临床研究
背景情况:
- 血是急诊泌尿器科住院的常见原因,有显著的再入院率.
- 在可见的血病例中,潜在恶性瘤的高率 (32%) 存在.
- 目前的国际住院治疗血液成熟症的治疗途径尚未得到充分优化或理解.
研究的目的:
- 调查当前因出血而导致的意外入院的管理实践.
- 分析这些做法对患者结果的影响,包括停留时间和再接收.
- 提供数据,以制定基于证据的指导方针,用于血住院护理.
主要方法:
- 一个国际性的,多中心的前性观察性研究 (The Ward AdmiSsion of Haematuria:一个观察性的多中心研究).
- 使用英国泌尿病学研究人员在外科培训协作模式.
- 通过标准化案例报告表格收集数据,并使用多层线性回归建模进行分析.
主要成果:
- 主要结局:住院时间长度.
- 二次结果:无住院生存率,死亡率,90天再入院率和资源利用率.
- 从2024年1月到2025年12月进行的数据收集.
结论:
- 该研究将描述当前的血住院患者管理,并确定需要改进的领域.
- 研究结果将为制定标准化,基于证据的指导方针提供信息.
- 旨在提高患者护理和优化泌尿病学入院的资源使用.
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
36
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
36
Acute Pyelonephritis II: Diagnostic Studies and Management
40
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
40
Acute Kidney Injury IV: Diagnostic Studies and Prevention
57
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57
Imaging Studies II: Ultrasonography
54
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
54
Urine Studies I: Urinalysis
103
Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
103
Imaging Studies I: Kidney, Ureter, and Bladder Studies
39
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
39


