一个检查框的成本
1From the Department of Emergency Medicine, Prisma Health-Upstate, University of South Carolina School of Medicine, Greenville, SC.
The journal of trauma and acute care surgery
|December 17, 2025
概括
在创伤护理中,常规的尿液药物查已经过时,很少为治疗决策提供信息. 这些测试可能会导致法律环境中的误解,应该用基于面试的方法来取代.
科学领域:
- 创伤护理 创伤护理
- 临床诊断 临床诊断 临床诊断
- 法医毒理学 法医毒理学
背景情况:
- 尿液药物查 (UDS) 经常被列入创伤护理协议.
- 目前的UDS面板基于过时的工作场所测试标准.
- 这些测试往往无法为急性创伤管理提供可操作的信息.
研究的目的:
- 评估在创伤护理中常规尿液药物查的实用性和影响.
- 确定与创伤患者UDS相关的局限性和潜在危害.
- 推与当前临床指南一致的替代查策略.
主要方法:
- 对现有的创伤护理协议和UDS实用性的审查.
- 对UDS结果的临床和法律影响的分析.
- 用UDS与采访式查方法进行比较.
主要成果:
- UDS很少告知即时创伤护理决策或确立急性中毒.
- UDS可能导致诊断定和虚假的药物戒断保证.
- 在法律背景下,UDS结果可能会被误解,在没有证据表明损害的情况下归因于错误.
结论:
- 常规的尿液药物查应该从创伤护理订单中删除.
- 应优先考虑经过验证的,基于采访的查方法.
- 建议在UDS临床适用时进行确认测试.
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