将疑似尾炎的做法和结果从社区医院转移到儿科三级急诊室
Sara Rizakos1,2, Layla Chai-Rahnema2,3, Bryn Badour2,3
1Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario.
Paediatrics & child health
|February 3, 2026
概括
许多因疑似尾炎而转移的儿童没有这种情况,大多数超声波需要重新成像. 这突出了改善儿科尾炎转移途径和超声波利用的机会.
科学领域:
- 儿科急救医学 儿科急救医学
- 外科手术的结果
- 诊断成像 诊断成像 诊断成像
背景情况:
- 疑似尾炎的儿童经常被转移到急诊室 (ED) 之间,因为他们无法获得儿科专业护理.
- 关于儿科尾炎的这些机构间转移的模式和结果的文献有限.
研究的目的:
- 分析疑似尾炎的儿童转移到三级儿科ED的转移模式和结果.
- 确定在儿科尾炎管理中优化护理协调和资源分配的领域.
主要方法:
- 对282名因疑似尾炎而从社区ED转移到多伦多儿科三级ED的儿童进行了回顾性图表审查 (2021年10月至2022年9月).
- 分析主要结果 (尾炎诊断比例) 和次要结果 (重复超声速率,手术咨询).
主要成果:
- 58%的转移儿童被诊断出患有尾炎; 42%的儿童没有.
- 大多数社区超声波 (85%的非尾炎病例,88%的尾炎病例) 进行,但重复超声波很常见 (分别为77%和54%).
- 所有尾炎病例和22%的非尾炎病例都进行了手术咨询.
结论:
- 转移的儿童中很大一部分没有尾炎,这表明可能有过度转移.
- 重复超声波的高率表明初始成像或解释中的潜在效率低下,需要改进传输协议和超声资源管理.
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