急诊科创伤相关CT应用及异常表现分析:一项为期一年的回顾性研究

IF 1.4 4区 医学 Q4 ENVIRONMENTAL SCIENCES Radioprotection Pub Date : 2022-04-01 DOI:10.1051/radiopro/2022009
N. Shubayr, N. Alomairy
{"title":"急诊科创伤相关CT应用及异常表现分析:一项为期一年的回顾性研究","authors":"N. Shubayr, N. Alomairy","doi":"10.1051/radiopro/2022009","DOIUrl":null,"url":null,"abstract":"Trauma is one of the major indications for admission to the emergency department (ED) and Computed Tomography (CT) scan requests. Understanding of CT utilization is important to reduce unnecessary imaging and radiation exposure. This study aimed to examine the utilization pattern of CT scans for trauma patients in the ED and how often traumatic abnormalities occurred. A retrospective study was conducted over a one-year period. Data for patients who were admitted to the ED and underwent CT scans for trauma indications, type of CT procedure performed, findings, and prior radiography were collected from the picture archiving and communication system. A total of 881 trauma patients underwent a CT scan as part of their investigation. Abnormalities were identified in 527 (59.9%) of cases and proportional with prior radiography [828 (94%)]. Different types of CT procedures were performed, as requested by the ED physicians, including 450 CT scans of the head, 188 for the spine, 93 for the chest, 45 CT CAP, 29 for the whole-body, 22 for the pelvis, 16 for the chest and abdomen, 13 for the extremities, and 11 for the abdomen. CT of the head was the most common procedure performed for trauma patients with 55% positive findings and may represent an opportunity for reduction of the use of CT scans, taking into consideration validated clinical decision rules. For multiple-trauma patients, a clearly defined criterion must be established to determine which CT procedure is required for these patients based on clinical indications and presentations. Therefore, for better radiation protection practices, a review and improvement of CT protocols, as well as justification and optimization, should be considered for utilization of CT scans for trauma patients.","PeriodicalId":21009,"journal":{"name":"Radioprotection","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An analysis of trauma-related CT utilization and abnormal findings in emergency department: a one-year retrospective study\",\"authors\":\"N. Shubayr, N. Alomairy\",\"doi\":\"10.1051/radiopro/2022009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Trauma is one of the major indications for admission to the emergency department (ED) and Computed Tomography (CT) scan requests. Understanding of CT utilization is important to reduce unnecessary imaging and radiation exposure. This study aimed to examine the utilization pattern of CT scans for trauma patients in the ED and how often traumatic abnormalities occurred. A retrospective study was conducted over a one-year period. Data for patients who were admitted to the ED and underwent CT scans for trauma indications, type of CT procedure performed, findings, and prior radiography were collected from the picture archiving and communication system. A total of 881 trauma patients underwent a CT scan as part of their investigation. Abnormalities were identified in 527 (59.9%) of cases and proportional with prior radiography [828 (94%)]. Different types of CT procedures were performed, as requested by the ED physicians, including 450 CT scans of the head, 188 for the spine, 93 for the chest, 45 CT CAP, 29 for the whole-body, 22 for the pelvis, 16 for the chest and abdomen, 13 for the extremities, and 11 for the abdomen. CT of the head was the most common procedure performed for trauma patients with 55% positive findings and may represent an opportunity for reduction of the use of CT scans, taking into consideration validated clinical decision rules. For multiple-trauma patients, a clearly defined criterion must be established to determine which CT procedure is required for these patients based on clinical indications and presentations. Therefore, for better radiation protection practices, a review and improvement of CT protocols, as well as justification and optimization, should be considered for utilization of CT scans for trauma patients.\",\"PeriodicalId\":21009,\"journal\":{\"name\":\"Radioprotection\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2022-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radioprotection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1051/radiopro/2022009\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radioprotection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1051/radiopro/2022009","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0

摘要

创伤是急诊科(ED)入院和计算机断层扫描(CT)请求的主要指征之一。了解CT的使用对于减少不必要的成像和辐射暴露是很重要的。本研究旨在探讨CT扫描在急诊科创伤患者中的应用模式以及创伤异常发生的频率。一项为期一年的回顾性研究进行了。从图像存档和通信系统中收集入急诊科并接受创伤指征、CT手术类型、结果和既往x线片扫描的患者的数据。作为调查的一部分,共有881名创伤患者接受了CT扫描。527例(59.9%)的病例发现了异常,与先前的x线摄影成正比[828例(94%)]。根据急诊科医生的要求,进行了不同类型的CT检查,包括头部450次CT扫描,脊柱188次,胸部93次,CT CAP 45次,全身29次,骨盆22次,胸部和腹部16次,四肢13次,腹部11次。头部CT检查是创伤患者最常用的检查方法,有55%的阳性结果,考虑到有效的临床决策规则,这可能意味着减少CT扫描的使用。对于多发创伤患者,必须建立一个明确定义的标准,根据临床适应症和表现来确定这些患者需要进行哪种CT检查。因此,为了更好的辐射防护实践,应考虑对CT方案的审查和改进,以及对CT扫描在创伤患者中的应用进行论证和优化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
An analysis of trauma-related CT utilization and abnormal findings in emergency department: a one-year retrospective study
Trauma is one of the major indications for admission to the emergency department (ED) and Computed Tomography (CT) scan requests. Understanding of CT utilization is important to reduce unnecessary imaging and radiation exposure. This study aimed to examine the utilization pattern of CT scans for trauma patients in the ED and how often traumatic abnormalities occurred. A retrospective study was conducted over a one-year period. Data for patients who were admitted to the ED and underwent CT scans for trauma indications, type of CT procedure performed, findings, and prior radiography were collected from the picture archiving and communication system. A total of 881 trauma patients underwent a CT scan as part of their investigation. Abnormalities were identified in 527 (59.9%) of cases and proportional with prior radiography [828 (94%)]. Different types of CT procedures were performed, as requested by the ED physicians, including 450 CT scans of the head, 188 for the spine, 93 for the chest, 45 CT CAP, 29 for the whole-body, 22 for the pelvis, 16 for the chest and abdomen, 13 for the extremities, and 11 for the abdomen. CT of the head was the most common procedure performed for trauma patients with 55% positive findings and may represent an opportunity for reduction of the use of CT scans, taking into consideration validated clinical decision rules. For multiple-trauma patients, a clearly defined criterion must be established to determine which CT procedure is required for these patients based on clinical indications and presentations. Therefore, for better radiation protection practices, a review and improvement of CT protocols, as well as justification and optimization, should be considered for utilization of CT scans for trauma patients.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Radioprotection
Radioprotection ENVIRONMENTAL SCIENCES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
3.30
自引率
54.50%
发文量
35
审稿时长
>12 weeks
期刊介绍: Radioprotection publishes articles on all aspects of radiological protection, including non-ionising as well as ionising radiations. Fields of interest range from research, development and theory to operational matters, education and training. The very wide spectrum of its topics includes (theoretical and practical aspects): dosimetry, instrument development, specialized measuring techniques, epidemiology, biological effects (in vivo and in vitro) and risk and environmental impact assessments.
期刊最新文献
Young generations facing post-nuclear accident situations: from Chernobyl to Fukushima Le principe de limitation des doses et la tolérabilité du risque radiologique Evaluation of Barium sulfate-copper breast radiation shield for use in thoracic Computed Tomography Examinations Natural radioactivity and radiological hazards assessment in soil samples of Hassan district, Karnataka State, India Balancing precision and safety: the crucial imperative of radiation dose optimization in radiology and the role of certified medical physicists in quality assessment
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1