UNASSIGNED: Application to each patient the algorithm criteria. The diagnosis was HP (≥90%), provisional high (70-89%) or low confidence (51-69%) or non-HP (unlikely) (≤50%); or HP, provisional or non-HP, if they had lung biopsy.
UNASSIGNED: 129 patients [mean age 64 ± 12 years; 79 (61.2%) women] were included of which 16 (12.4%) were diagnosed on the basis of high clinical suspicion. After applying the algorithm, 106 patients (82.2%) could be evaluated and 83 (78.3%) had a diagnosis of HP or high confidence. Lung biopsy was able to establish a diagnosis of certainty in another 21 patients and a provisional diagnosis in 9 more [total, 113 (87.6%)]. The 16 patients without strict diagnostic criteria for HP had a low confidence diagnosis. A total of 56 lung biopsies (64.4%) could have been avoided according to the new guidelines.
UNASSIGNED: The application of this algorithm achieves a high diagnostic yield in HP, significantly reducing the number of lung biopsies required.
■对每个患者应用算法标准。诊断为HP(≥90%),临时高(70-89%)或低置信度(51-69%)或非HP(不太可能)(≤50%);或HP,临时或非HP,如果他们做了肺活检.
■。包括129例患者[平均年龄64±12岁;79例(61.2%)妇女],其中16例(12.4%)是根据高度临床怀疑诊断的。应用算法后,可以评估106例患者(82.2%),其中83例(78.3%)诊断为HP或高置信度。肺活检能够在另外21例患者中建立确定性诊断,在另外9例患者中建立临时诊断[总计,113(87.6%)]。没有严格的HP诊断标准的16例患者诊断可信度低。根据新指南,总共可以避免56例肺活检(64.4%)。
■该算法的应用在H,显着减少所需的肺活检数量。