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Cranial CT scans--emergency department utilization

D E Sinclair1, G Kovacs, M Hillis

  • 1Department of Emergency Medicine, Victoria General Hospital, Halifax, Nova Scotia, Canada.

The Journal of Emergency Medicine
|September 1, 1993
PubMed
Summary
This summary is machine-generated.

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This study reviewed cranial computed tomography (CT) scans in the emergency department. Results indicate current ordering practices yield an acceptable rate of abnormal findings, suggesting criteria may be effective.

Area of Science:

  • Emergency Medicine
  • Radiology
  • Neurology

Background:

  • Cranial computed tomography (CT) scans are frequently ordered in emergency departments.
  • Defining high-yield criteria for CT scan orders can optimize resource utilization and diagnostic accuracy.

Purpose of the Study:

  • To retrospectively determine high-yield criteria for ordering cranial CT scans in an adult emergency department setting.

Main Methods:

  • A retrospective review of 416 adult patients who underwent emergency cranial CT scans over one year.
  • Analysis of indications for CT scans and the rates of abnormal results.

Main Results:

  • The overall rate of abnormal cranial CT scans was 39%.
  • Specific indications with notable abnormal rates included coma (54%), focal weakness (46%), and acute trauma (37%).

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  • Headache and seizures also prompted scans, with 26% and 17% abnormal rates, respectively.
  • Conclusions:

    • Current clinical practice for ordering emergency cranial CT scans appears to yield an acceptable proportion of abnormal results.
    • Further prospective studies are needed to refine high-yield criteria and assess the impact of negative CT scans on patient management.