دورية أكاديمية
The utility of computed tomography at a district-level public hospital in Cape Town.
| العنوان: | The utility of computed tomography at a district-level public hospital in Cape Town. |
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| المؤلفون: | Osman R; Department of Health, Faculty of Emergency Medicine, Khayelitsha District Hospital, Cape Town. osman.ridwaan@gmail.com., Fouten A, Jacobs N, Cader F, Ehlers F, Zalgaonkir N, Erasmus E, Van Hoving D |
| المصدر: | South African family practice : official journal of the South African Academy of Family Practice/Primary Care [S Afr Fam Pract (2004)] 2024 May 27; Vol. 66 (1), pp. e1-e6. Date of Electronic Publication: 2024 May 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AOSIS Publishing Country of Publication: South Africa NLM ID: 9701104 Publication Model: Electronic Cited Medium: Internet ISSN: 2078-6204 (Electronic) Linking ISSN: 20786190 NLM ISO Abbreviation: S Afr Fam Pract (2004) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Durbanville, Cape Town] : AOSIS Publishing Original Publication: Cramerview : The Academy, [1994- |
| مواضيع طبية MeSH: | Tomography, X-Ray Computed*/statistics & numerical data , Hospitals, Public*/statistics & numerical data , Hospitals, District*, Humans ; South Africa/epidemiology ; Male ; Cross-Sectional Studies ; Female ; Middle Aged ; Adult ; Aged ; Adolescent ; Young Adult |
| مستخلص: | Background: Computed tomography (CT) has become an invaluable aid in medical diagnostic workup, and its global usage has been shown to be consistently increasing across all departments. While typically located in regional or central hospitals in South Africa, its recent introduction at the district level has many foreseeable benefits. We evaluated its utility at one of the first district hospitals in the Western Cape to obtain a CT suite. Objectives: This study aimed to describe the type of CT scans ordered, the clinical indications, the prevalence of significant abnormal findings and the agreement between the clinical opinion and radiological diagnosis. Methods: A descriptive cross-sectional study was conducted over a 1-year period at Khayelitsha Hospital, an entry-level hospital just outside of Cape Town. Results: A total of 3242 CT scans were analysed. The mean age of patients was 46 years; 51.4% were males. A mean of 13 scans were performed per working day. The head and neck area were the most scanned region (n = 1841, 52.3%). Predominantly requested by the Emergency Centre (n = 1382, 42.6%), indications were mainly for general medical conditions workup (n = 2151, 66.4%). Most scans showed abnormalities (n = 2710, 83.6%), with 2115 (65.2%) considered relevant ('positive yield'). Clinical and CT diagnoses agreed in 1610 (49.7%) cases. Conclusion: Computed tomography usage at the district level demonstrated positive yield rates comparable to that of tertiary centres. This implies an appropriate utilisation of the service with a potential decrease in the burden on the referral centre.Contribution: Computed tomography scanners at district-level facilities are appropriately utilised and can provide greater access to care while potentially decreasing the burden on referral centres. |
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| فهرسة مساهمة: | Keywords: computed tomography; district hospital; emergency medicine; family medicine; primary healthcare; radiology; yield |
| تواريخ الأحداث: | Date Created: 20240604 Date Completed: 20240604 Latest Revision: 20240607 |
| رمز التحديث: | 20240607 |
| مُعرف محوري في PubMed: | PMC11151385 |
| DOI: | 10.4102/safp.v66i1.5891 |
| PMID: | 38832391 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2078-6204 |
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| DOI: | 10.4102/safp.v66i1.5891 |