在美国紧急诊所怀疑腎病的诊断成像
Harrison M Drebin1, Richard B Berman1, Adithya Balasubramanian2
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Urology practice
|December 12, 2025
概括
计算机断层扫描 (CT) 仍然是侧侧疼痛的主要成像工具,尽管超声波 (美国) 提供更低的辐射暴露. 自2014年以来,CT使用量有所增加,而美国的使用量仍然有限.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 计算机断层扫描 (CT) 和超声波 (US) 是在急诊室 (ED) 诊断侧侧疼痛和结石的关键.
- 以前的研究表明,与CT相比,US可以减少辐射暴露,而不会影响护理.
- 美国ED的侧肩疼痛成像趋势需要调查.
研究的目的:
- 分析2014年至2022年美国急诊部侧侧疼痛评估所使用的成像模式的趋势.
- 评估随着时间的推移,对疑似结石病的CT和US利用的变化.
主要方法:
- 国家医院门诊医疗保健调查 (2014-2022) 用于识别侧翼疼痛的ED遭遇.
- 多阶段调查权重产生了国家估计.
- 多变量逻辑回归分析了成像趋势和相关因素.
主要成果:
- 仅用于CT和CT/US组合的处理显著增加,而非成像处理的处理减少.
- 超声波专用工作保持稳定,与年轻人和教学医院有关.
- 诸如再访状况,黑人种族和教学医院护理等因素影响了CT使用.
结论:
- 计算机断层扫描仍然是ED患者侧侧疼痛的占主导地位的成像方式,其使用正在增加.
- 超声波专用成像未得到充分利用,仅限于特定的患者群体和环境.
- 进一步的研究可能会探索优化侧翼疼痛的成像策略.
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