Korean Journal of Radiology

  • 제13권5호
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  • Pages.536-540
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  • 2012
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Trends of CT Use in the Adult Emergency Department in a Tertiary Academic Hospital of Korea during 2001-2010

  • Oh, Hye Yeon (Department of Radiology, Gachon University Gil Hospital) ;
  • Kim, Eun Young (Department of Radiology, Gachon University Gil Hospital) ;
  • Cho, Jinseong (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jeong Ho (Department of Radiology, Gachon University Gil Hospital) ;
  • Kim, Hyung Sik (Department of Radiology, Gachon University Gil Hospital) ;
  • Choi, Hye-Young (Department of Radiology, Gachon University Gil Hospital)
  • 발행 : 2012.10.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: We wanted to assess the trends of CT examinations that were conducted in an adult emergency department (ED). Materials and Methods: We searched the medical database to identify adult patients (${\geq}$ 18 years) who had visited the ED and the number of CT examinations of the patients during the period from January 2001 to December 2010. We also analyzed the types of CT scans performed in terms of body parts, they were as follows; head CTs, facial bone CTs, neckl CTs, chest CTs, abdominal CTs, and miscellaneous CTs. Further, miscellaneous CTs were subdivided as CT angiography and others. Results: A total of 113656 CT scans were examined for 409439 adult ED patients during a 10-year period, and the number of CT scans increased by 255% (from 4743 CTs in 2001 to 16856 CTs in 2010), while the adult ED patient volume increased by 34% during the same period. Although the head CTs proportionally occupied the most, the facial bone CTs had the largest rate of increase (3118%), followed by cervical CTs (1173%), chest CTs (455%), miscellaneous CTs (388%; 862% and 84% for CT angiography and others, respectively), abdominal CTs (315%) and head CTs (95%) per 1000 patients during the decade. Conclusion: CT use in adult ED has increased at a rate that far exceeds the growth of ED patient volume, with facial bone CTs and cervical CTs having the largest increasing rate, followed by chest CTs, miscellaneous CTs, abdominal CTs and head CTs.

키워드

참고문헌

  1. Brody AS, Seidel FG, Kuhn JP. CT evaluation of blunt abdominal trauma in children: comparison of ultrafast and conventional CT. AJR Am J Roentgenol 1989;153:803-806 https://doi.org/10.2214/ajr.153.4.803
  2. Broder J, Warshauer DM. Increasing utilization of computed tomography in the adult emergency department, 2000-2005. Emerg Radiol 2006;13:25-30 https://doi.org/10.1007/s10140-006-0493-9
  3. Boone JM, Brunberg JA. Computed tomography use in a tertiary care university hospital. J Am Coll Radiol 2008;5:132- 138 https://doi.org/10.1016/j.jacr.2007.07.008
  4. Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographics 2008;28:1555-1570 https://doi.org/10.1148/rg.286085510
  5. Lee J, Kirschner J, Pawa S, Wiener DE, Newman DH, Shah K. Computed tomography use in the adult emergency department of an academic urban hospital from 2001 to 2007. Ann Emerg Med 2010;56:591-596 https://doi.org/10.1016/j.annemergmed.2010.05.027
  6. Tanrikulu R, Erol B. Comparison of computed tomography with conventional radiography for midfacial fractures. Dentomaxillofac Radiol 2001;30:141-146 https://doi.org/10.1038/sj.dmfr.4600593
  7. Reuben AD, Watt-Smith SR, Dobson D, Golding SJ. A comparative study of evaluation of radiographs, CT and 3D reformatted CT in facial trauma: what is the role of 3D? Br J Radiol 2005;78:198-201 https://doi.org/10.1259/bjr/26977910
  8. Bailitz J, Starr F, Beecroft M, Bankoff J, Roberts R, Bokhari F, et al. CT should replace three-view radiographs as the initial screening test in patients at high, moderate, and low risk for blunt cervical spine injury: a prospective comparison. J Trauma 2009;66:1605-1609 https://doi.org/10.1097/TA.0b013e3181a5b0cc
  9. Flohr TG, Schaller S, Stierstorfer K, Bruder H, Ohnesorge BM, Schoepf UJ. Multi-detector row CT systems and imagereconstruction techniques. Radiology 2005;235:756-773 https://doi.org/10.1148/radiol.2353040037
  10. Baker LC, Atlas SW, Afendulis CC. Expanded use of imaging technology and the challenge of measuring value. Health Aff (Millwood) 2008;27:1467-1478
  11. Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National trends in CT use in the emergency department: 1995- 2007. Radiology 2011;258:164-173 https://doi.org/10.1148/radiol.10100640
  12. Kock MC, Adriaensen ME, Pattynama PM, van Sambeek MR, van Urk H, Stijnen T, et al. DSA versus multi-detector row CT angiography in peripheral arterial disease: randomized controlled trial. Radiology 2005;237:727-737 https://doi.org/10.1148/radiol.2372040616
  13. Smith-Bindman R, Lipson J, Marcus R, Kim KP, Mahesh M, Gould R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009;169:2078-2086 https://doi.org/10.1001/archinternmed.2009.427
  14. Brenner DJ, Elliston CD. Estimated radiation risks potentially associated with full-body CT screening. Radiology 2004;232:735-738 https://doi.org/10.1148/radiol.2323031095
  15. Sodickson A, Baeyens PF, Andriole KP, Prevedello LM, Nawfel RD, Hanson R, et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 2009;251:175-184 https://doi.org/10.1148/radiol.2511081296
  16. Levin DC, Rao VM, Parker L. Physician orders contribute to high-tech imaging slowdown. Health Aff (Millwood) 2010;29:189-195 https://doi.org/10.1377/hlthaff.2009.0528
  17. Levin DC, Bree RL, Rao VM, Johnson J. A prior authorization program of a radiology benefits management company and how it has affected utilization of advanced diagnostic imaging. J Am Coll Radiol 2010;7:33-38 https://doi.org/10.1016/j.jacr.2009.09.012

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  3. Trends in computed tomography utilisation in the emergency department: A 5 year experience in an urban medical centre in northern Taiwan vol.28, pp.2, 2012, https://doi.org/10.1111/1742-6723.12557
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  5. Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission vol.18, pp.5, 2012, https://doi.org/10.5811/westjem.2017.5.34152
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  8. The cumulative incidence and trends of rare diseases in South Korea: a nationwide study of the administrative data from the National Health Insurance Service database from 2011–2015 vol.14, pp.None, 2019, https://doi.org/10.1186/s13023-019-1032-6
  9. Increasing use of CT requested by emergency department physicians in tertiary hospitals in Western Australia 2003–2015: an analysis of linked administrative data vol.11, pp.3, 2021, https://doi.org/10.1136/bmjopen-2020-043315
  10. Epidemiology and Comorbidity of Adrenal Cushing Syndrome: A Nationwide Cohort Study vol.106, pp.3, 2012, https://doi.org/10.1210/clinem/dgaa752
  11. Factors affecting incorrect interpretation of abdominal computed tomography in non-traumatic patients by novice emergency physicians vol.8, pp.3, 2012, https://doi.org/10.15441/ceem.20.118
  12. Predictors of renal infarction in patients presenting to the emergency department with flank pain: A retrospective observational study vol.16, pp.12, 2012, https://doi.org/10.1371/journal.pone.0261054