دورية أكاديمية
Trends in CT Request and Related Outcomes in a Pediatric Emergency Department
| العنوان: | Trends in CT Request and Related Outcomes in a Pediatric Emergency Department |
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| المؤلفون: | S.M. Saiful Islam, Amir Fattah Abru, Saeed Al Obaidani, Saud Al- Shabibi, Sami Al Farsi |
| المصدر: | Oman Medical Journal, Vol 31, Iss 5, Pp 365-369 (2016) |
| بيانات النشر: | Oman Medical Specialty Board, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Pediatric Medicine, Computed Tomography, Radiation Exposure, Medicine |
| الوصف: | Objectives: To study and to establish the overall trends of computed tomography (CT) use and associated outcomes in the pediatric emergency department (PED) at Royal Hospital, Oman, from 2010 to 2014. Methods: The hospital electronic medical record was retrospectively searched to find children (from birth to 12 years old) who had visited the PED and the number of CT requests between 1 January 2010 and 31 December 2014. The types of CT examinations ordered were analyzed according to anatomical location and were as follows; head, abdomen/pelvis, chest, cervical spine/neck, and others. Results: There were a total of 67 244 PED visits during the study period, 569 of which received 642 CT scans. There was a remarkable rise in CT uses per 1000 visits from 7 in 2010 to 12 in 2014. There was a 56% hike in CT requests from 87 in 2010 to 175 in 2014 while the number of pediatric emergency visits rose by about 28% from 11 721 to 15 052. Although head CT scans were the most common, cervical spine CT scans had the highest rate of increase (600%) followed by the chest (112%), head (54%) and abdomen (13%). There were no significant changes in other CT scan requests. The cost of CT scans increased from $18 096 to $36 400 during the study period, which increased the average PED cost by about $2 per visit. The average time between a CT being requested and then performed was 1.24 hours. Conclusions: CT use in the pediatric emergency department has risen significantly at a rate that markedly exceeds the growth of emergency visits. This is associated with an increase in PED costs and longer waiting times. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1999-768X 2070-5204 |
| Relation: | http://omjournal.org/articleDetails.aspx?coType=1&aId=1811; https://doaj.org/toc/1999-768X; https://doaj.org/toc/2070-5204 |
| DOI: | 10.5001/omj.2016.72 |
| URL الوصول: | https://doaj.org/article/179184f7fbbd45deb28af1576016e19c |
| رقم الأكسشن: | edsdoj.179184f7fbbd45deb28af1576016e19c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 1999768X 20705204 |
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| DOI: | 10.5001/omj.2016.72 |