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肺切除后的常规胸部X射线的排除:一个质量改善倡议
Baptiste Vasey1, Margaux Laurent1, Marco Stefano Demarchi1
1Division of Thoracic and Endocrine Surgery, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Journal of thoracic disease
|November 13, 2025
概括
在肺切除后停止常规的术后胸部X射线 (CXR) 是安全的,不会增加再入院或并发症. 这种实践的转变通过减少不必要的成像来提高护理质量.
科学领域:
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 常规的术后胸部X射线 (CXR) 是肺部手术后的标准.
- 有证据表明,对于许多患者来说,常规CXR可能是不必要的.
- 启动了一项质量改善计划,以停止肺切除后的常规CXRs.
研究的目的:
- 评估肺切除后停止常规术后胸部X射线 (CXRs) 的安全性和影响.
- 评估再接收率,并发症和资源利用率的变化.
主要方法:
- 进行了一项单中心,回顾性,受控的前后研究.
- 分析了接受肺切除 (不包括肺切除术) 的患者.
- 术后CXR实践在倡议之前和之后进行了比较,结果在实施后的30天和10个月后进行评估.
主要成果:
- 术后CXR的总数在发起后显著下降.
- 两组之间没有观察到30天再入院率或心肺复发症的显著差异.
- 10个月后,大多数患者不再接受常规CXRs,这一亚组的再入院率为0%.
结论:
- 消除肺切除后的常规术后胸部X射线是一种安全的做法.
- 过渡需要时间和建立临床医生的信心.
- 这种方法可以通过减少不必要的成像来提高医疗保健质量.
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