focused assessment with sonography in trauma and abdominal computed tomography utilization in adult trauma patients: trends over the last decade

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ID: 143546
2013
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Abstract
Objective. We sought to describe the trend in abdominal CT use in adult trauma patients after a point-of-care emergency ultrasound program was introduced. We hypothesized that abdominal CT use would decrease as FAST use increased. Methods. We performed a retrospective study of 19940 consecutive trauma patients over the age of 18 admitted to our level one trauma center from 2002 through 2011. Data was collected retrospectively and recorded in a trauma registry. We plotted the rate of FAST and abdominal CT utilization over time. Head CT was used as a surrogate for overall CT utilization rates during the study period. Results. Use of FAST increased by an average of 2.3% (95% CI 2.1 to 2.5, P<0.01) while abdominal CT use decreased by the same rate annually. The percentage of patients who received FAST as the sole imaging modality for the abdomen rose from 2.0% to 21.9% while those who only received an abdominal CT dropped from 21.7% to 2.3%. Conclusions. Abdominal CT use in our cohort declined while FAST utilization grew in the last decade. The rising use of FAST may have played a role in the reduction of abdominal CT performed as decline in CT utilization appears contrary to overall trends.
Reference Key
sheng2013emergencyfocused Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Alexander Y. Sheng;Peregrine Dalziel;Andrew S. Liteplo;Peter Fagenholz;Vicki E. Noble
Journal balkanlarda türk dili ve edebiyatı araştırmaları
Year 2013
DOI
10.1155/2013/678380
URL
http://dx.doi.org/10.1155/2013/678380
Keywords
critical care first aid intensive care medical emergencies

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