دورية أكاديمية
أعرض في EDS

Utilization of Imaging in the Management of Pediatric Dog Bites.

التفاصيل البيبلوغرافية
العنوان: Utilization of Imaging in the Management of Pediatric Dog Bites.
المؤلفون: Borg BA; From the Department of Surgery, Wayne State University School of Medicine., Kato PJ; From the Department of Surgery, Wayne State University School of Medicine., Donoghue L; Department of Pediatric Surgery, Children's Hospital of Michigan, Detroit, MI., Shanti CM; Department of Pediatric Surgery, Children's Hospital of Michigan, Detroit, MI.
المصدر: Pediatric emergency care [Pediatr Emerg Care] 2022 Jan 01; Vol. 38 (1), pp. e431-e435.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8507560 Publication Model: Print Cited Medium: Internet ISSN: 1535-1815 (Electronic) Linking ISSN: 07495161 NLM ISO Abbreviation: Pediatr Emerg Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985-
مواضيع طبية MeSH: Bites and Stings*/diagnostic imaging, Animals ; Dogs ; Humans ; Retrospective Studies ; Tomography, X-Ray Computed ; Trauma Centers ; Upper Extremity
مستخلص: Introduction: We hypothesized that imaging is overused in the initial workup of dog bite patients. To reduce radiation exposure, we aim to determine which circumstances surrounding dog bites, patient population, and injury patterns would necessitate imaging studies for management.
Methods: A retrospective review was performed on all patients presenting with dog bites to our level I pediatric trauma center between 2013 and 2015. Data collected included: circumstances surrounding the injury, patient demographics, injuries, and imaging studies performed. Our analysis focused on maxillofacial and head CT scans, and plain radiographic studies of the limbs, hands, and feet. Imaging studies were considered positive if there was evidence of bony injury.
Results: We identified 615 patients with dog bites, with 114 patients having had at least one imaging study performed (a total of 145 imaging studies to analyze). Only 13 (11%) patients had a positive study. In the CT scan group, 6 (22.2%) of 27 studies were positive. In the plain radiographic group, 7 (5.9%) of 118 studies were positive.
Conclusions: Our review indicates that imaging studies are overused in the initial workup of these patients, and the majority of these studies are negative. This study confirms that it is feasible to institute guidelines for ordering imaging studies in dog bite patients. This will ultimately reduce radiation exposure and the cost of care for these injuries.
Competing Interests: Disclosure: The authors declare no conflict of interest.
(Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20220106 Date Completed: 20220107 Latest Revision: 20231003
رمز التحديث: 20231215
DOI: 10.1097/PEC.0000000000002317
PMID: 34986595
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-1815
DOI:10.1097/PEC.0000000000002317