Support for ultrasound first in pediatric appendicitis diagnosis
Jenna Le, M.D., from Montefiore Medical Center in Bronx, N.Y., and colleagues used a hospital billing database to identify pediatric patients with surgically proven appendicitis from 2005 to 2011. Additionally, utilization of ultrasound and computed tomography (CT) and median hospital LOS were analyzed.
The researchers found that, based on the 804 identified patients, the percentage of patients who underwent CT only showed a downward trend, while the percentage of patients who underwent ultrasound first increased. The percentage of patients who only underwent ultrasound before appendectomy increased moderately over the study period. The percentage of patients with a diagnosis code of complicated appendicitis and the median hospital LOS did not increase significantly over time.
"The transition to an ultrasound-first pathway for the imaging workup of acute appendicitis in children occurred without evidence of a corresponding increase in the proportion of patients with complicated appendicitis or in the median hospital LOS," Le and colleagues conclude.
Full Text (subscription or payment may be required)
Copyright © 2013 HealthDay. All rights reserved.