Incidental Findings on CT Scans in the Emergency Department
Joint Authors
Ko, Paul Y.
Grant, William D.
Wojcik, Susan M.
Thompson, Ryan J.
Source
Emergency Medicine International
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-05-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objectives.
Incidental findings on computed tomography (CT) scans are common.
We sought to examine rates of findings and disclosure among discharged patients who received a CT scan in the ED.
Methods.
Retrospective chart review (Aug-Oct 2009) of 600 patients age 18 and older discharged home from an urban Level 1 trauma center.
CT reports were used to identify incidental findings and discharge paperwork was used to determine whether the patient was informed of these findings.
Results.
There were 682 CT scans among 600 patients: 199 Abdomen & Pelvis, 405 Head, and 78 Thorax.
A total of 348 incidental findings were documented in 228/682 (33.4%) of the scans, of which 34 (9.8%) were reported to patients in discharge paperwork.
Patients with 1 incidental finding were less likely to receive disclosure than patients with 2 or more (P=.010).
Patients age <60 were less likely to have incidental findings (P<.001).
There was no significant disclosure or incidental finding difference by gender.
Conclusions.
While previous research suggests that CT incidental findings are often benign, reporting to patients is recommended but this is rarely happening.
American Psychological Association (APA)
Thompson, Ryan J.& Wojcik, Susan M.& Grant, William D.& Ko, Paul Y.. 2011. Incidental Findings on CT Scans in the Emergency Department. Emergency Medicine International،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-486080
Modern Language Association (MLA)
Thompson, Ryan J.…[et al.]. Incidental Findings on CT Scans in the Emergency Department. Emergency Medicine International No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-486080
American Medical Association (AMA)
Thompson, Ryan J.& Wojcik, Susan M.& Grant, William D.& Ko, Paul Y.. Incidental Findings on CT Scans in the Emergency Department. Emergency Medicine International. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-486080
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486080