计算机断层扫描对疑似脑积水患者护理的影响。

Impact of computed tomography on the care of patients with suspected hydrocephalus.

作者信息

Larson E B, Omenn G S, Magno J

出版信息

AJR Am J Roentgenol. 1978 Jul;131(1):41-4. doi: 10.2214/ajr.131.1.41.

DOI:10.2214/ajr.131.1.41

Abstract

To assess the impact of computed tomography (CT) on patient care, a cohort of patients with suspected hydrocephalus admitted before installation of CT was compared to a similar cohort admitted after installation of CT. The after CT cohort used significantly fewer pneumoencephalograms and radionuclide brain scans. The average cost of neurodiagnostic evaluation was 22% less after CT. However, speed of workup, therapy, institution of therapy, discharge plans, and discharge diagnoses were not different for the two cohorts. We conclude that CT has made the diagnostic evaluation of patients who otherwise would have required pneumoencephalography for suspected hydrocephalus less expensive and less hazardous.

摘要

为评估计算机断层扫描（CT）对患者治疗的影响，将CT安装前入院的疑似脑积水患者队列与CT安装后入院的类似队列进行了比较。CT检查后的队列显著减少了气脑造影和放射性核素脑扫描的使用。CT检查后神经诊断评估的平均成本降低了22%。然而，两个队列在检查速度、治疗、治疗开始、出院计划和出院诊断方面并无差异。我们得出结论，对于疑似脑积水的患者，CT使原本需要进行气脑造影的诊断评估成本降低且危险性降低。