Value of bedside ultrasound combined with bronchoscopy in the index evaluation of inpatient management for bedridden patients with pneumonia(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2019年第8期
- Page:
- 933-937
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Value of bedside ultrasound combined with bronchoscopy in the index evaluation of inpatient management for bedridden patients with pneumonia
- Author(s):
- SHEN Yan; YANG Pucha; ZHUO Songming
- Department of Respiratory and Critical Care Medicine, Longgang Central Hospital, Shenzhen 518116, China
- Keywords:
- Keywords: ultrasound; bronchoscopy; pneumonia; bedridden; inpatient management
- PACS:
- R445；R563.1
- DOI:
- DOI:10.3969/j.issn.1005-202X.2019.08.014
- Abstract:
- Abstract: Objective To explore the value of bedside ultrasound combined with bronchoscopy in the index evaluation of inpatient management for patients with pneumonia who have to stay in bed. Methods Forty patients who met the criteria were randomly divided into control group and observation group, with 20 cases in each group. In control group, routine tests and examinations during hospitalization were adopted to assist in the evaluation of infection control and the determination of whether the patient can be discharged. In observation group, besides routine tests and examinations, bedside pulmonary ultrasound and bronchoscopy was also used to assist in the determination of whether the patient can be discharged. The hospital stay, hospitalization expense, the use of antibiotics, re-admission rate within 30 days in two groups were statistically analyzed and compared. Results Compared with control group, observation group had a higher examination cost, but a shorter length of hospital stay and lower hospitalization expenses, and the differences were statistically significant (P<0.05). The cost of antibiotics in observation group were lower than that in control group, and the difference was statistically significant (P<0.05). There was no re-admission within 30 days in either group. Conclusion For patients with pneumonia who have to stay in bed for a relatively long time, on the basis of the routine evaluation of the infection control with clinical symptoms, signs, tests and examinations, combining bedside ultrasound and bronchoscopy can effectively reduce the length of hospital stay, hospitalization expense and the use of antibiotics, without increasing re-admission rate within 30 days.
Last Update: 2019-08-26