随访胸部X射线的收益率感染相关的变化在同一天的紧急护理
Ojoma Emeje1, Rand Alkaissy1, Richard De Butts2
1Department of Acute General Medicine, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, OX3 9DU, Oxford, UK.
Acute medicine
|October 17, 2025
概括
在英国同一天紧急护理 (SDEC) 单位的随访胸部X射线 (CXR) 很少检测出恶性病变. 基于危险因素的CXR向可能是有益的,尽管非恶性发现仍然可以帮助患者的护理.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 胸部X射线 (CXR) 经常用于监测呼吸道感染相关的变化,并排除恶性病变.
- 同一天紧急护理 (SDEC) 单位管理紧急的门诊护理患者.
- 在SDEC群体中,随访CXR的诊断收益率尚未得到充分确立.
研究的目的:
- 在参加SDEC的患者中评估随访CXR的发现和临床益处.
- 评估从这些后续CXR中检测恶性和非恶性疾病的检测率.
主要方法:
- 在2020年6月至2023年9月期间,对成年SDEC患者的回顾性服务评估.
- 鉴定CXRs作为感染相关发现的后续检查.
- 结果根据肺恶性瘤风险因素进行了分层.
主要成果:
- 在27,336个CXR中,419个被确定为后续研究.
- 341个CXR评估了感染的解决;89%显示了解决,11%持续变化.
- 在持续变化中发现了两种恶性病和几种非恶性病 (例如,间歇性肺病),这两种癌症患者都超过50岁,并具有危险因素.
结论:
- 在SDEC患者中通过随访CXR检测到的恶性瘤的低发病率表明,风险因素导向成像对SDEC患者有潜在的益处.
- 这些后续CXR的非恶性发现仍然可以为患者管理提供重要的临床价值.
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