JORR
Journal of Orthopedics Research and Rehabilitation

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers inorthopaedic surgery, physical therapy and rehabilitation, neurosurgery, neurology and clinic anesthesiology and reanimation. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

eISSN: 2980-0560
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
Evaluation of the diagnostic efficacy of computed tomography imaging in trauma patients
Abstract
Aims: The objective of this study was to assess the efficacy of computed tomography imaging tests ordered for trauma patients in the emergency medicine service and to identify pathologies in the imaging.
Methods: A retrospective evaluation was conducted on trauma patients who applied to our hospital's Emergency Medicine Department between 01 January 2023 and 01 October 2023 and underwent diagnostic computed tomography imaging (CT).
Results: A total of 4193 CT scans were analysed in 3641 patients. Falls were the most common etiological cause (n=3451, 82.3%). Pathology was detected in 25.87% of CT orders. The most frequently used CT type was cranial CT (n=1687, 40.22%). The highest rate of pathology was found in scapula CT (75%), while the lowest rate was observed in cervical spine CT (13%). The most common pathology was detected in cranial CT (n=457). The highest rate of pathology was found in scapula CT (75%), while the lowest rate was observed in cervical spine CT (13%).
Conclusion: The accessibility of relevant specialists to emergency physicians reduces the number of unnecessary CT imaging orders. In the emergency department, physicians should adhere to internationally accepted guidelines when ordering advanced imaging studies.

Keywords : Emergency department, computed tomography, efficiency, consultation, trauma

Download Article


1. Rasouli HR, Aliakbar Esfahani A, Abbasi Farajzadeh M. Challenges, consequences, and lessons for way-outs to emergencies at hospitals: a systematic review study. <em>BMC Emerg Med. </em>2019;19(1):62.
2. Hinson JS, Martinez DA, Cabral S, et al. Triage performance in emergency medicine: a systematic review. <em>Ann Emerg Med. </em>2019;74(1):140-152.
3. Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National trends in CT use in the emergency department: 1995-2007. <em>Radiol</em>. 2011;258(1):164-173.
4. Griffey RT, Jeffe DB, Bailey T. Emergency physicians&rsquo; attitudes and preferences regarding computed tomography, radiation exposure, and imaging decision support. <em>Acad Emerg Med</em>. 2014;21(7):768-777.
5. Azman RR, Shah MNM, Ng KH. Radiation safety in emergency medicine: balancing the benefits and risks. <em>Korean J Radiol</em>. 2019;20(3):399.
6. Tung M, Sharma R, Hinson JS, Nothelle S, Pannikottu J, Segal JB. Factors associated with imaging overuse in the emergency department: a systematic review. <em>Am J Emerg Med</em>. 2018;36(2):301-309.
7. Korley FK, Pham JC, Kirsch TD. Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998- 2007. <em>Jama</em>. 2010;304(13):1465-1471.
8. Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. <em>Arch Intern Med</em>. 2011;171(9):831-837.
9. Raja AS, Ip IK, Sodickson AD, et al. Radiology utilization in the emergency department: trends of the past 2 decades. <em>Am J Roentgenol</em>. 2014;203(2):355-360.
10. Demir MC, Akkas M. Awareness of risks associated with the use of plain X-Ray, computed tomography, and magnetic resonance imaging among emergency physicians and comparison with that of other physicians: a survey from Turkey. <em>Med Sci Monitor: International Med J Experiment Clin Res</em>. 2019;25:6587-6597.
11. Oguz KK, Yousem DM, Deluca T, Herskovits EH, Beauchamp NJ. Effect of emergency department CT on neuroimaging case volume and positive scan rates. <em>Acad Radiol</em>. 2002;9(9):1018-1024.
12. Yıldız &Ouml;&Ouml;, Eraybar S, Kaya H, Armağan, E. Acil serviste yapılan bilgisayarlı tomografi g&ouml;r&uuml;nt&uuml;leme istemleri ne kadar etkin? <em>J Contemp Med</em>. 2019;9(3):249-254.
13. Arslan E, Aydın İ, L&ouml;k U, et al. Acil servisten istenen radyolojik g&ouml;r&uuml;nt&uuml;leme incelemelerinin etkinliğinin değerlendirilmesi. <em>Adıyaman &Uuml;niv Sağ Bil Derg</em>. 2021;7(2):136-145.
14. Swartzberg K, Goldstein LN. High positive computed tomography yields in the emergency department might not be a positive finding. <em>South African Med J</em>. 2018;108(3):230-234.
15. Stiell IG, Wells GA, Vandemheen K, et al. The Canadian CT head rule for patients with minor head injury. <em>Lancet</em>. 2001;357(9266):1391-1396.
16. Kanzaria HK, Hoffman JR, Probst MA, Caloyeras JP, Berry SH, Brook RH. Emergency physician perceptions of medically unnecessary advanced diagnostic imaging. <em>Acad Emerg Med</em>. 2015;22(4):390-398.
Article available in :
Volume 2, Issue 2, 2024
Page : 27-31
https://doi.org/10.51271/JORR-0028
Article Information
Received : 11 Mar 2024
Accepted : 09 Nis 2024
Published : 26 Nis 2024
Corresponding Author :

Furkan Soy: Department of Orthopaedics and Traumatology, Kahramankazan State Hospital, Ankara, Turkiye

[email protected]
Citation : Soy F, Pehlivan O, Çakır AD, Özsan SO. Evaluation of the diagnostic efficacy of computed tomography imaging in trauma patients. J Orthop Res Rehabil. 2024;2(2):27-31.

Read: 810
Cited: 0
Download : 272
_Footer