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Comparison of the efficiency of the paediatric brain CTs with trauma and non-trauma related indications in the paediatric emergency department
Affiliations- Department of Paediatric Radiology, Malatya Training and Research Hospital, Malatya, Türkiye
open access
Abstract
BACKGROUND: This study aimed to determine the appropriateness of the examinations by evaluating the pre-diagnosis of the patients who underwent brain Computed Tomography (CT) in the paediatric emergency departments and the existing pathologies in the brain CTs. In addition, a comparison of the efficiency of the brain CT examinations performed for trauma and non-traumatic reasons was made.
MATERIAL AND METHODS: CT’s were examined by dividing into 2 groups according to the indications as trauma (group 1) and non-trauma related (group 2). The 2 groups were compared statistically according to the number of pathologies, distribution of pathologies by gender and age.
RESULTS: Pathologies were detected in 9.3% (n = 30) of the patients in the first group and 21.2% (n = 14) of the patients in the second group. A statistically significant difference was found between the groups in terms of whether pathology was detected (p = 0.023). The rate of pathology detection in the group that underwent CT for non-traumatic reasons was statistically significantly higher than the other group.
CONCLUSION: Precautions should be taken especially with trauma patients to prevent unnecessary CT scans in the paediatric emergency department. In addition, if a CT scan is planned in the paediatric emergency department with the approval of the paediatrician and radiologist, the CT examinations can be made with more accurate indications.
Abstract
BACKGROUND: This study aimed to determine the appropriateness of the examinations by evaluating the pre-diagnosis of the patients who underwent brain Computed Tomography (CT) in the paediatric emergency departments and the existing pathologies in the brain CTs. In addition, a comparison of the efficiency of the brain CT examinations performed for trauma and non-traumatic reasons was made.
MATERIAL AND METHODS: CT’s were examined by dividing into 2 groups according to the indications as trauma (group 1) and non-trauma related (group 2). The 2 groups were compared statistically according to the number of pathologies, distribution of pathologies by gender and age.
RESULTS: Pathologies were detected in 9.3% (n = 30) of the patients in the first group and 21.2% (n = 14) of the patients in the second group. A statistically significant difference was found between the groups in terms of whether pathology was detected (p = 0.023). The rate of pathology detection in the group that underwent CT for non-traumatic reasons was statistically significantly higher than the other group.
CONCLUSION: Precautions should be taken especially with trauma patients to prevent unnecessary CT scans in the paediatric emergency department. In addition, if a CT scan is planned in the paediatric emergency department with the approval of the paediatrician and radiologist, the CT examinations can be made with more accurate indications.
Keywords
Multi-detector Computed Tomography, paediatric, head trauma, radiation, emergency department
About this articleTitle
Comparison of the efficiency of the paediatric brain CTs with trauma and non-trauma related indications in the paediatric emergency department
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Research paper
Pages
80-84
Published online
2021-06-28
Page views
352
Article views/downloads
345
DOI
Bibliographic record
Disaster Emerg Med J 2021;6(2):80-84.
Keywords
Multi-detector Computed Tomography
paediatric
head trauma
radiation
emergency department
Authors
Gulec Mert Dogan
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