This site is intended for Healthcare professionals only.

Most emergency CT scans for head trauma not prescribed as per NICE criteria


Most emergency CT scans for head trauma not prescribed as per NICE criteria

The researchers from  Radiology Department of Fatebenefratelli-Sacco Hospital in Milan, Italy conducted a study to   find out whether all the CT”s conducted in Emergency patients for minor head injuries, skull fractures and brain hemorrhage are really relevant.They have found that most of the CT examinations were not indicated according to the NICE and CCHR criteria.This may be leading to unnecessary heath care costs and patient exposure to radiation.The findings of   study shall be  presented at the ARRS 2018 Annual Meeting, set for April 22-27 in Washington, DC.

The study, to be presented by Michaela Cellina, of the Radiology Department of Fatebenefratelli-Sacco Hospital in Milan, Italy, evaluated head CT scans executed for minor head injury (MHI) in patients aged 18-45 who presented to the hospital’s emergency department between January 1 and June 30, 2016. For each CT scan, researchers determined whether the CT referral met the criteria indicated by the National Institute for Health and Care Excellence (NICE) and the Canadian CT Head Rule (CCHR).

Of 492 cases reviewed, 260 (52.8%) and 376 (76.4%) of the CT examinations were not indicated according to the NICE and CCHR, respectively. Researchers noted no statistically significant difference between the specialty and seniority of the referring physician and over-referral, or between the patient’s age and unwarranted CT studies. Motor vehicle accidents, however, were associated with a higher rate of non-indicated CT examinations for both NICE and CCHR, and two-wheel vehicle driver accidents were associated with a higher rate of appropriated CT exams for both NICE and CCHR. Only 15 of the 260 CT examinations were positive for brain hemorrhage, subarachnoid hemorrhage, or skull fracture.

With educational activities representing the entire spectrum of radiology, ARRS will host leading radiologists from around the world at the ARRS 2018 Annual Meeting, April 22-27, at the Marriott Wardman Park Hotel in Washington, DC.

The following two tabs change content below.
Anjali Nimesh

Anjali Nimesh

Anjali Nimesh Joined Medical Dialogue as Reporter in 2016. she covers all the medical specialty news in different medical categories. She also covers the Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in medical filed. She is a graduate from Dr. Bhimrao Ambedkar University. She can be contacted at editorial@medicaldialogues.in Contact no. 011-43720751
Source: Eureka Alert

Share your Opinion Disclaimer

Sort by: Newest | Oldest | Most Voted