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Current abdominal X-rays practice in accident and emergency.

Winnie Tam1

  • 1University Hospital Wales, Heath Park Way, Cardiff, CF14 4XW, United Kingdom.

Journal of Medical Imaging and Radiation Sciences
|August 12, 2023
PubMed
Summary
This summary is machine-generated.

Abdominal X-rays (AXR) in the accident and emergency department are frequently overused, with low justification rates and minimal findings. Improving adherence to guidelines can reduce patient radiation exposure and optimize imaging resources.

Keywords:
Abdominal X-rayAbdominal painAccident & emergencyOveruseRadiation protection

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Area of Science:

  • Radiology
  • Medical Imaging
  • Emergency Medicine

Background:

  • Previous reviews indicate low sensitivity and high non-compliance with guidelines for abdominal X-rays (AXR) in emergency departments.
  • AXR overuse leads to unnecessary radiation exposure and inefficient resource allocation.

Purpose of the Study:

  • To investigate current AXR practices in a large UK accident and emergency (A&E) department.
  • To identify areas for improvement in AXR request justification and performance.

Main Methods:

  • Retrospective assessment of 169 AXR requests from A&E over a 28-day period.
  • Exclusion of non-A&E patients and abandoned examinations.
  • Analysis of request justification, findings, and rates of further imaging.

Main Results:

  • Out of 141 included AXR requests, 15.4% were unjustified.
  • Only 4% of reported AXRs showed pathological abnormalities.
  • 45/136 (33.1%) patients required further imaging, a lower rate than previously reported.

Conclusions:

  • Findings suggest significant overuse of AXR in the A&E setting.
  • Increased awareness of justification guidelines through clinical governance is recommended.
  • Reducing AXR overuse can minimize radiation dose and improve imaging service efficiency.