'Ready-access' CT imaging for an orthopaedic trauma clinic

Area of Science:

• Orthopaedic Surgery
• Radiology
• Trauma Care

Background:

• Computed tomography (CT) imaging is not routinely integrated into orthopaedic trauma clinic workflows.
• A dedicated 'Ready-Access' CT facility has been operational at a regional trauma unit for four years.
• This service aims to expedite diagnostic imaging for trauma patients within the clinic setting.

Purpose of the Study:

• To evaluate the utilization and impact of a 'Ready-Access' CT imaging facility within an orthopaedic trauma clinic.
• To assess the diagnostic yield and influence on patient management decisions.
• To determine the efficiency in terms of waiting times and resource allocation.

Main Methods:

• A retrospective review of 100 patients undergoing CT scans during trauma clinic assessments over a 2-year period.
• Analysis of CT scan findings, including confirmation, exclusion, and additional information regarding fractures.
• Evaluation of patient disposition (discharge or admission) based on CT results.

Main Results:

• The CT scan rate was 0.6 scans per clinic, with a mean waiting time of 30 minutes.
• CT scans confirmed new fractures in 20% of patients, ruled out fractures in 33%, and provided additional information in 25%.
• Eight percent of patients had additional, previously undiagnosed fractures identified; 20% were discharged, and 12% were admitted based on CT findings.

Conclusions:

• 'Ready-Access' CT imaging in orthopaedic trauma clinics offers significant diagnostic value.
• The facility efficiently provides critical information, influencing patient management with minimal added time and cost.
• Integrating CT imaging into trauma clinics improves diagnostic accuracy and streamlines patient care pathways.