计算机断层扫描产量和预测机械通风患者肺栓塞的预测因素 - - 一项回顾性研究
Erik Bruno1, Matilda Kewenter1, Angeliki Dimopoulou Creusen2
1Department of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University and Uppsala University Hospital, Uppsala, Sweden.
计算机断层扫描肺血管造影 (CTPA) 肺栓塞 (PE) 在通风ICU患者有21%的积极收益率. 升高的D-二次体和临床怀疑预测了积极的PE发现,但患者变量没有.
科学领域:
- 关键护理医学 关键护理医学
- 放射学 放射学是一门学科.
- 肺部医学 肺部医学
背景情况:
- 肺栓塞 (PE) 在重症监护室 (ICU) 的患病率有所不同,计算断层扫描肺血管造影 (CTPA) 作为参考标准.
- 在机械通风患者中,评估PE的前测试概率具有挑战性.
研究的目的:
- 为了确定CTPA在机械通风ICU患者怀疑PE的诊断产量.
- 从临床原因和患者变量中确定CTPA阳性发现的预测因素.
主要方法:
- 五年来机械通风成年患者CTPA检查的回顾性分析.
- 多变量逻辑回归用于评估阳性CTPA结果与临床原因/患者变量之间的关联.
主要成果:
- 在243个疑似PE的CTPA检查中,52个 (21%) 是阳性.
- 升高的D-二次体和未定义的临床怀疑与积极的PE发现有显著的关联.
- 没有选择的患者变量与PE检测有显著的关联.
结论:
- 在通风ICU患者中,CTPA对PE的诊断收益率与急诊室患者相似.
- 临床怀疑和D-二次体水平与阳性PE发现有关,但患者变量显示相关性较低.
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