Standard CT protocol for trauma patients leads to overutilization of imaging

April 15, 2013

It is unnecessary to scan trauma patients based on a non-focused standard trauma CT protocol, if the patient is transferred for care after already undergoing a focused CT examination based on the patient's history and physical examination, a new study shows.

The study, conducted at the University of Pittsburgh Medical Center reviewed the records of 100 patients who were transferred from another facility. "The standard trauma CT protocol for all level 1 and 2 transferred to our facility includes a CT examination of the head, , thoracic spine, lumbar spine, chest, abdomen and ," said Dr. Matthew Heller, a lead author in the study. "We found that these additional tests generated 463 negative CT examinations. In seven patients, there were minor unexpected acute findings, such as non-displaced rib fractures. However, the findings did not change the treatment of any of these patients," said Dr. Heller.

"In short, scanning patients according to the standard trauma protocol generated hundreds of CT examinations which did not impact the patient's care," said Dr. Heller. On average, we found that the standard trauma protocol generated approximately 5 per patient that were either negative or not clinically significant," he said.

"In our study, we estimate that CT utilization, imaging costs and can be reduced by at least 50% if the standard imaging protocol is replaced by imaging dictated by the patient's history and physical examination findings," Dr. Heller said.

Dr. Heller will present his study at the ARRS annual meeting on April 15 in Washington, DC.

Explore further: Study says eliminate pelvic imaging to reduce radiation for the detection of venous thromboembolism

Related Stories

Recommended for you

Study identifies genomic features of cervical cancer

January 23, 2017

Investigators with The Cancer Genome Atlas (TCGA) Research Network have identified novel genomic and molecular characteristics of cervical cancer that will aid in the subclassification of the disease and may help target therapies ...

Opinion: How dangerous is burnt toast?

January 23, 2017

A new campaign is warning people that burning some food, such as toast, is a potential cancer risk. Here, the evidence for this claim is explored by David Spiegelhalter, Professor of the Public Understanding of Risk at the ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.