Journal article
Trauma surgeon utilization of computerized tomography scanning: Room for improvement?
The American journal of surgery, v 213(3), pp 579-582
01 Mar 2017
PMID: 27939022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We aimed to evaluate computerized tomography (CT) utilization and yield rates for trauma team activations (TTA).
A retrospective review of all TTAs was conducted over nine months. TTAs consisted of two levels--trauma alert (TAL) and trauma response (TR). Yields of CT for significant findings (SF) for four CT types (brain, cervical, chest, abdomen/pelvis) were recorded.
647 patients were included. There was no difference in the utilization rates of CTs except for brain CTs (TAL, 98% vs TR, 94%, p = 0.008). There was no difference in the yield rates except for cervical spine CTs (TAL, 8% vs TR, 4%, p = 0.03). Over 80% received a pan scan regardless of TTA level; 63% who had any CT had no SF. The median ratio of scans with SF to the total number of scans per patient was 0.
Regardless of activation level, CT seems to be over utilized. More selective use of CT should be evaluated.
Metrics
Details
- Title
- Trauma surgeon utilization of computerized tomography scanning: Room for improvement?
- Creators
- Adrian W. Ong - Reading HospitalJeffery Moyer - Philadelphia College of Osteopathic MedicineFikir D. Wordofa - Kutztown UniversityAdam Sigal - Reading HospitalKristen Sandel - Reading HospitalForrest B. Fernandez - Reading Hospital
- Publication Details
- The American journal of surgery, v 213(3), pp 579-582
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000400473000031
- Scopus ID
- 2-s2.0-85007552168
- Other Identifier
- 991022020735704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery