上肢血栓后综合征评分:来自国际Delphi研究的共识结果
Tjep Hoedemakers1, Eline S van Hattum1, Bart-Jeroen Petri1
1Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Journal of thrombosis and haemostasis : JTH
|September 19, 2025
概括
专家们就诊断上肢后栓塞综合征 (UE-PTS) 的定义达成共识. 这项工作旨在标准化UE-PTS得分应用程序,以获得更好的患者结果.
科学领域:
- 血管医学 血管医学
- 临床诊断 临床诊断 临床诊断
- 建立医学共识 建立医学共识
背景情况:
- 上肢后血栓形成综合征 (UE-PTS) 缺乏确定的诊断标准.
- 之前的德尔菲共识研究旨在创建UE-PTS诊断和分类得分.
研究的目的:
- 为了在UE-PTS评分中的各个组件的定义上达成专家共识.
- 为了促进UE-PTS得分在临床环境中的一致和可靠的应用.
主要方法:
- 采用了Delphi方法,涉及53名受邀专家.
- 一个指导委员会和患者共同开发了定义,通过3轮专家评级改进了定义.
- 共识被定义为≥75%的专家在9分利克特等级上获得≥7分.
主要成果:
- 在53名专家中,有35名 (66%) 专家参加了会议,代表不同专业.
- 在第三轮讨论中,所有提出的定义都达成了共识.
- 对于手臂重度,疲劳和疼痛的定义,观察到最高的共识 (96%).
结论:
- 通过专家共识,为UE-PTS得分的5种症状和2种临床征兆建立了最佳定义.
- 在临床和研究实施之前,UE-PTS得分需要在患者队列中进一步验证.
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