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Utilization of chest CT for injured patients during visits to U.S. emergency departments: 2012-2015.
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- Author(s): Yun BJ;Yun BJ;Yun BJ;Yun BJ; Rodriguez RM; Rodriguez RM; Prabhakar AM; Prabhakar AM; Prabhakar AM; Prabhakar AM; Peak DA; Peak DA; Peak DA; Baymon DE; Baymon DE; Baymon DE; Baymon DE; Raja AS; Raja AS; Raja AS; Raja AS
- Source:
The American journal of emergency medicine [Am J Emerg Med] 2019 May; Vol. 37 (5), pp. 909-912. Date of Electronic Publication: 2018 Aug 08.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: W B Saunders Country of Publication: United States NLM ID: 8309942 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8171 (Electronic) Linking ISSN: 07356757 NLM ISO Abbreviation: Am J Emerg Med Subsets: MEDLINE
- Publication Information: Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]- - Subject Terms: Emergency Service, Hospital/*statistics & numerical data ; Thorax/*diagnostic imaging ; Tomography, X-Ray Computed/*statistics & numerical data; Adolescent ; Adult ; Health Care Surveys ; Humans ; Logistic Models ; Middle Aged ; Tomography, X-Ray Computed/adverse effects ; United States/epidemiology ; Wounds and Injuries/diagnostic imaging ; Wounds and Injuries/epidemiology
- Abstract: Introduction: Increased use of computed tomography (CT) during injury-related Emergency Department (ED) visits has been reported, despite increased awareness of CT radiation exposure risks. We investigated national trends in the use of chest CT during injury-related ED visits between 2012 and 2015.
Methods: Analyzing injury-related ED visits from the 2012-2015 United States (U.S.) National Hospital Ambulatory Medical Care Survey (NHAMCS), we determined the percentage of visits that had a chest CT and the diagnostic yield of these chest CTs for clinically-significant findings. We used survey-weighted multivariable logistic regression to determine which patient and visit characteristics were associated with chest CT use.
Results: Injury-related visits accounted for 30% of the 135 million yearly ED visits represented in NHAMCS. Of these visits, 817,480 (2%) received a chest CT over the study period. The diagnostic yield was 3.88%. Chest CT utilization did not change significantly from a rate of 1.73% in 2012 to a rate of 2.31% in 2015 (p = 0.14). Multivariate logistic regression demonstrated increased odds of chest CT for patients seen by residents versus by attendings (adjusted odds ratio [AOR] 2.08, 95% confidence interval [CI] 1.41-3.08). Patients aged 18-59 and 60+ had higher AORs (5.75, CI 3.44-9.61 and 9.81, CI 5.90-16.33, respectively) than those <18 years of receiving chest CT.
Conclusions: Overall chest CT utilization showed an increased trend from 2012 to 2015, but the results were not statistically significant.
(Copyright © 2018 Elsevier Inc. All rights reserved.) - Contributed Indexing: Keywords: Chest CT; Diagnostic Imaging; Thoracic Injuries; Trauma
- Publication Date: Date Created: 20180814 Date Completed: 20191224 Latest Revision: 20191224
- Publication Date: 20221213
- Accession Number: 10.1016/j.ajem.2018.08.024
- Accession Number: 30100335
- Source:
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