检查紧急医生对EBM和腹痛胸部X射线请求的观点和态度
Brian Evans1, Nicola Giannotti1,2, Ernest Ekpo1,2,3
1The University of Sydney, Sydney, Australia.
Emergency medicine Australasia : EMA
|November 25, 2025
概括
紧急部门的医生认识到基于证据的医学 (EBM) 的重要性,但并不总是仅仅依靠证据做出临床决策. 他们意识到腹部疼痛的胸部X射线 (CXR) 限制,并愿意实施指南.
科学领域:
- 紧急医疗 紧急医疗
- 临床实践指南 临床实践指南
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胸部X射线 (CXR) 经常在急诊室 (ED) 用于诊断腹痛.
- 在这种情况下,CXR的实用性和适当应用是正在进行的临床辩论的主题.
- 基于证据的医学 (EBM) 原则指导现代医学实践,强调将最佳研究证据与临床专业知识相结合.
研究的目的:
- 评估ED医生关于CXRs用于腹痛诊断的当前实践.
- 评估ED医生对EBM的态度.
- 确定EBM在ED环境中实施EBM的感知障碍.
主要方法:
- 在新南威尔士州 (NSW) 的ED医生进行了横截面调查.
- 该调查使用了经过修改和验证的调查问卷来评估CXR用于腹痛的使用情况,EBM态度和实施障碍.
- 收集了来自16个不同急诊室的48名急诊医生的数据.
主要成果:
- 近90%的参与者肯定了EBM在日常实践中的重要性.
- 虽然62.5%的人认为他们的实践符合EBM指导方针,但只有23%的人在临床决策中完全依赖科学证据.
- 显著的多数人 (83%以上) 发现改变工作场所程序是具有挑战性的.
结论:
- 勃起障碍医生通常对EBM有积极的看法,但在决策中并不一致地应用它.
- 在ED医生中,关于CXRs对腹部疼痛评估的局限性的认识是公认的.
- ED医生表示愿意通过指导方针,以提高成像转诊的适当性.
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