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Trends in CT request and related outcomes in a pediatric emergency department
Joint Authors
Abru, Amir Fattah
al-Ubaidani, Said
al-Shabibi, Saud
al-Farsi, Sami
Islam, S. M. Saiful
Source
Issue
Vol. 31, Issue 5 (30 Sep. 2016), pp.365-369, 5 p.
Publisher
Publication Date
2016-09-30
Country of Publication
Oman
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Islam, S. M. Saiful& Abru, Amir Fattah& al-Ubaidani, Said& al-Shabibi, Saud& al-Farsi, Sami. 2016. Trends in CT request and related outcomes in a pediatric emergency department. Oman Medical Journal،Vol. 31, no. 5, pp.365-369.
https://search.emarefa.net/detail/BIM-748737
Modern Language Association (MLA)
al-Ubaidani, Said…[et al.]. Trends in CT request and related outcomes in a pediatric emergency department. Oman Medical Journal Vol. 31, no. 5 (Sep. 2016), pp.365-369.
https://search.emarefa.net/detail/BIM-748737
American Medical Association (AMA)
Islam, S. M. Saiful& Abru, Amir Fattah& al-Ubaidani, Said& al-Shabibi, Saud& al-Farsi, Sami. Trends in CT request and related outcomes in a pediatric emergency department. Oman Medical Journal. 2016. Vol. 31, no. 5, pp.365-369.
https://search.emarefa.net/detail/BIM-748737
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 269
Record ID
BIM-748737