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评估在门诊护理环境中出现肺栓塞的患者的发病和恶性瘤风险

Muhammed Memon^1,2, Eram Anwar^3,2, Kamran Shakir^1,2

¹Department of Acute Medicine, University Hospitals of Derby and Burton, Burton-on-Trent, United Kingdom.

Sultan Qaboos University medical journal

|October 23, 2025

概括

肺栓塞 (PE) 的门诊治疗是可行的. 简化肺栓塞严重性指数 (sPESI) 有助于风险分层,并识别患有新癌症部位 (NCS) 高风险的患者.

科学领域:

心脏病学心脏病学
在瘤学瘤学.
紧急医疗紧急医疗

背景情况:

静脉血栓栓塞 (VTE),特别是肺栓塞 (PE),可以在门诊环境中进行风险评估.
医生的不情愿和与癌症相关的静脉动脉瘤的复杂性可能会阻碍门诊PE管理.
早期发现新的癌症部位 (NCS) 在PE患者中至关重要.

研究的目的:

评估在急性医学门诊管理的PE患者的发病率和死亡率.
评估风险分层在门诊PE管理中的有效性.
在PE患者中识别新的癌症部位 (NCS).

主要方法:

在急性医学门诊机构 (2019-2022) 管理的82名确诊PE患者的回顾性研究 (2019-2022).
收集的数据包括生物化学和放射学发现,死亡/发病率,治疗方法,简化肺栓塞严重性指数 (sPESI) 评分,并发症和NCS诊断.
统计分析包括后勤回归和分类树方法.

主要成果:

增加的sPESI分数与较高的死亡率相关 (sPESI 0:0%死亡率;sPESI 3:50%在90天内死亡率).
在13.4%的患者中诊断出新的癌症部位 (NCS).
一个分类树模型预测NCS具有70.6%的灵敏度和97%的特异性,使用癌症史和年龄>73岁.

结论:

在风险分层的PE患者中,sPESI对具有不良结果的PE患者有价值.
分类树方法有效地识别了患有NCS发展高风险的患者.
PE的门诊治疗得到了风险分层工具的支持,用于结局和癌症检测.

关键词:

健行诊所设施健行诊所设施门诊患者门诊患者门诊患者肺栓塞是因为肺栓塞.联合王国联合王国联合王国静脉血栓塞栓症是一种静脉血栓塞栓症.

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