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Journals / Türkiye Acil Tıp Dergisi / 2013 / Cilt: 13 - Sayı: 2

Acil ortopedik travma hastalarında bilgisayarlı tomografi kullanımının değerlendirilmesi

Evaluating the use of computed tomography for orthopedic trauma patients in the emergency department

Ahmet İMERCİ
Gürhan ADAM
Muhammet BOZOĞLAN
Ahmet KAYA
Ahmet SAVRAN
Umut CANBEK
Pages
75–80
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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

Considering the risk of radiation to the patient, it is necessary to develop protocols to determine which emergency department patients should undergo computed tomography.

📌 3 Key Takeaways

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Objective & Hypothesis:SUMMARY ObjectivesThe purpose of this study is to evaluate the necessity of computed tomography (CT) scans requested to examine the spine, extremity, or pelvis of orthopedic trauma patients in the emergency department.MethodsWe retrospectively screened the medical records of all patients who had a CT scan during their emergency department (ED) evaluation.
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Key Findings & Data:All data were classified as either child (aged 0-14 years) or adult (aged >14 years).ResultsOf the 32, 685 patients examined in the child and adult emergency trauma unit over one year, 1, 664 were recommended for an extremity, pelvis, or spine CT (7.02%).
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Conclusion & Impact:Considering the risk of radiation to the patient, it is necessary to develop protocols to determine which emergency department patients should undergo computed tomography.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

SUMMARY ObjectivesThe purpose of this study is to evaluate the necessity of computed tomography (CT) scans requested to examine the spine, extremity, or pelvis of orthopedic trauma patients in the emergency department.MethodsWe retrospectively screened the medical records of all patients who had a CT scan during their emergency department (ED) evaluation. All data were classified as either child (aged 0-14 years) or adult (aged >14 years).ResultsOf the 32, 685 patients examined in the child and adult emergency trauma unit over one year, 1, 664 were recommended for an extremity, pelvis, or spine CT (7.02%). The mean age of the patients was 38.6 years (range 2-94 years). Of these patients, 145 of the computed tomography scans (CTs) (80.1%) in the child group and 1, 108 CTs (74.7%) in adult group were negative.ConclusionsThe unnecessary use of CT in the emergency department to examine orthopedic trauma patients has drawn attention. Considering the risk of radiation to the patient, it is necessary to develop protocols to determine which emergency department patients should undergo computed tomography.

Özet

AmaçBu çalışmanın amacı acil ortopedik travma hastalarında omurga, pelvis ve ekstremitenin değerlendirilmesi için istenilen bilgisayarlı tomografinin (BT) gerekliliğini değerlendirmektir.Gereç ve YöntemGeriye dönük olarak acil servisimizde değerlendirme esnasında BT çekilen hastaların tıbbi kayıtları tarandı. Bütün veriler çocuk (0-14) ve erişkin yaş grubu (>14) olarak gruplandı.BulgularÇocuk ve erişkin acil travma bölümünde bir yılda muayene olan 32.685 hastadan 1.664 tanesinden ekstremite, pelvis veya vertebra BT (%7.02) istenmiştir. Hastaların yaş ortalaması 38.6 (2-94) idi. Bütün hastalar içinden çocuklarda çekilen BT’lerin 145’i (%80.1) ve erişkinlerin 1.108’i (%74.7) negatif olarak bulundu.SonuçAcil serviste ortopedik travma hastalarının değerlendirmesinde gereksiz BT kullanımı dikkat çekmektedir. Radyasyon riski de göz önüne alındığında hangi hastaya tomografi çekileceği hususu ile ilgili protokollerin geliştirilmesinin gerekli olduğu düşünülmektedir.

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Cite This Article

İMERCİ, A., ADAM, G., BOZOĞLAN, M., KAYA, A., SAVRAN, A., CANBEK, U. (2022). Acil ortopedik travma hastalarında bilgisayarlı tomografi kullanımının değerlendirilmesi. Türkiye Acil Tıp Dergisi, Cilt: 13 - Sayı: 2, 75–80. https://ajindex.com/articles/625948

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