Demand for CT scans increases during transition from paediatric to adult care: an observational study from 2009 to

Pete Thurley1, Jonathan Crookdake1, Mark Norwood1

  • 11 Royal Derby Hospital , Derby , UK.

Insights

CT scan rates significantly increase during the transition from pediatric to adult care, nearly tripling in young adults. Understanding pediatricians' radiation reduction strategies could benefit all patients.

Area of Science:

  • Medical Imaging
  • Radiology
  • Pediatric Care

Background:

  • Minimizing radiation exposure is crucial for pediatric and young adult patients.
  • The transition from pediatric to adult medical care represents a critical period for healthcare management.

Purpose of the Study:

  • To investigate the demand for computed tomography (CT) scans in a general hospital.
  • To analyze CT scan rates, particularly during the transition from pediatric to adult care.

Main Methods:

  • An observational epidemiological study was conducted in a teaching hospital.
  • CT scan data from 2009 to 2015 were analyzed.
  • Age-stratified rates of CT scan utilization were the primary outcome measure.

Main Results:

  • A total of 262,221 CT scans were performed.
  • A substantial increase in CT scan rates was observed during the transition from pediatric to adult care.
  • Individuals aged 19-24 years had significantly higher CT scan rates (19.8 per 1000 episodes) compared to those aged 10-15 years (6.7 per 1000 episodes).

Conclusions:

  • CT scan utilization nearly triples during the transition from pediatric to adult care.
  • Pediatricians' strategies for minimizing radiation exposure may offer valuable insights for adult physicians.
  • Adopting these strategies could lead to reduced ionizing radiation exposure for all patients.
Abstract

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