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Journals / Çocuk Acil ve Yoğun Bakım Dergisi / 2015 / Cilt: 2 - Sayı: 1

The Contribution of Cranial Computed Tomographies to Patient Management in Pediatric Emergency Department

Çocuk Acil Servisinde Çekilen Bilgisayarlı Beyin Tomografilerinin Hasta Yönetimine Katkısı

HALİSE AKÇA
NİLDEN TUYGUN
CAN DEMİR KARACAN
Yasemin YILDIZ TAŞÇI
Pages
1–5
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Clinical decision making scales and evidence-based guidelines are needed to widespread use in order to keep at an optimal rate of use of computed tomographies in Pediatric Emergency Department CAYD 2015;2(1):1-6.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Computed tomography is an important imaging method in pediatric patients in diagnosis and follow-up even sometimes lifesaving, but it can be harmful because of ionized radiation.
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Key Findings & Data:Methods: A review of medical reports of 837 computed tomographies which were performed in patients aged in 0 to 18 years with minor head trauma or non-traumatic condition in Pediatric Emergency Service were investigated in an eight year period, retrospectively.
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Conclusion & Impact:Clinical decision making scales and evidence-based guidelines are needed to widespread use in order to keep at an optimal rate of use of computed tomographies in Pediatric Emergency Department CAYD 2015;2(1):1-6.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Computed tomography is an important imaging method in pediatric patients in diagnosis and follow-up even sometimes lifesaving, but it can be harmful because of ionized radiation. In this study, we aimed to evaluate the clinical indications and impacts of cranial computed tomographies on clinical outcomes of the patients who were admitted to Pediatric Emergency Service. Methods: A review of medical reports of 837 computed tomographies which were performed in patients aged in 0 to 18 years with minor head trauma or non-traumatic condition in Pediatric Emergency Service were investigated in an eight year period, retrospectively. Results: Mainly seizure (49.2%) and altered consciousness (19.2%) were complaints of the patients who underwent computed tomography. The majority of the reports (83.6%) were evaluated as normal. Only 5.2% of patients required neurosurgical consultation. Conclusion: As a result of the increasing crowding in emergency departments, emergency physicians are faced with challenges to ensure high quality and safe care. Clinical decision making scales and evidence-based guidelines are needed to widespread use in order to keep at an optimal rate of use of computed tomographies in Pediatric Emergency Department CAYD 2015;2(1):1-6.

Özet

Amaç: Bilgisayarlı tomografi; çocuk hastalarda tanı ve takipte önemli, bazen de hayat kurtarıcı ancak iyonize radyasyonnedeniyle zararlı olabilen bir görüntüleme yöntemidir. Bu çalışmada Çocuk Acil Servisimizde yapılan bilgisayarlı beyin tomografi istemlerinin klinik endikasyonu ve acil tedavi yönetimine katkısı olup olmayacağı araştırılmıştır.Yöntemler: Hastanemiz Çocuk Acil Servisinde sekiz yıllık sürede nontravmatik veya minör kafa travmalı 0-18 yaşaralığındaki hastalarda çekilen 837 bilgisayarlı beyin tomografisi geriye dönük olarak incelendi.Bulgular: Bilgisayarlı beyin tomografisi çekilen hastaların en sık yakınmaları nöbet (% 49,2) ve bilinç değişikliği (% 19,2)idi. Raporların % 83,6'sı normal olarak değerlendirildi. Olguların % 5,2'si beyin cerrahi danışımı gerektirdi.Sonuç: Hastanelerin acil servislerindeki kalabalığın giderek artması sonucunda yüksek kaliteli ve güvenli bakım sağlanabilmesi için zorluklarla karşılaşılmaktadır. Çocuk acil servislerinde BT çekim oranlarını makul düzeyde tutabilmek için klinik kararverme kuralları ve kanıta dayalı rehberlerin yaygın kullanımına gereksinim duyulmaktadır CAYD 2015;2(1):1-6

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Cite This Article

AKÇA, H., TUYGUN, N., KARACAN, C. D., TAŞÇI, Y. Y. (2015). The Contribution of Cranial Computed Tomographies to Patient Management in Pediatric Emergency Department. Çocuk Acil ve Yoğun Bakım Dergisi, Cilt: 2 - Sayı: 1, 1–5. https://ajindex.com/articles/162318

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