How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?
Background: The relevance of clinical data included in blunt trauma referrals for abdominal computed tomography (CT) is not known. Objectives: To analyse the clinical details provided on free-text request forms for abdominal CT following blunt trauma and assess their association with imaging eviden...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2020-04-01
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| Series: | South African Journal of Radiology |
| Subjects: | |
| Online Access: | https://sajr.org.za/index.php/sajr/article/view/1837 |
| _version_ | 1818302890822860800 |
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| author | Kenneth B. Beviss-Challinor Martin Kidd Richard D. Pitcher |
| author_facet | Kenneth B. Beviss-Challinor Martin Kidd Richard D. Pitcher |
| author_sort | Kenneth B. Beviss-Challinor |
| collection | DOAJ |
| description | Background: The relevance of clinical data included in blunt trauma referrals for abdominal computed tomography (CT) is not known.
Objectives: To analyse the clinical details provided on free-text request forms for abdominal CT following blunt trauma and assess their association with imaging evidence of intra-abdominal injury.
Method: A single-institution, retrospective study of abdominal CT scans was performed for blunt trauma between 01 January and 31 March 2018. Computed tomography request forms were reviewed with their corresponding CT images. Clinical details provided and scan findings were captured systematically. The relationship between individual clinical features and CT evidence of abdominal injury was tested using one-way cross tabulation and Fisher’s exact test.
Results: One hundred thirty-nine studies met inclusion criteria. A wide range of clinical details was communicated. Only clinical abdominal examination findings (p = 0.05), macroscopic haematuria (p 0.01), pelvic fracture or hip dislocation (p = 0.04) and positive focused assessment with sonography in trauma (p 0.01) demonstrated an associated trend with abdominal injury.
Conclusion: Key abdominal examination and basic imaging findings remain essential clinical details for the appropriate evaluation of CT abdomen requests in the setting of blunt trauma. Methods to improve consistent communication of relevant clinical details are likely to be of value. |
| first_indexed | 2024-12-13T05:46:06Z |
| format | Article |
| id | doaj.art-454c7f5d43bc411c8c3dd62980b74f98 |
| institution | Directory Open Access Journal |
| issn | 1027-202X 2078-6778 |
| language | English |
| last_indexed | 2024-12-13T05:46:06Z |
| publishDate | 2020-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Radiology |
| spelling | doaj.art-454c7f5d43bc411c8c3dd62980b74f982022-12-21T23:57:39ZengAOSISSouth African Journal of Radiology1027-202X2078-67782020-04-01241e1e610.4102/sajr.v24i1.18371100How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?Kenneth B. Beviss-Challinor0Martin Kidd1Richard D. Pitcher2Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownCentre for Statistical Consultation, Stellenbosch University, StellenboschDivision of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownBackground: The relevance of clinical data included in blunt trauma referrals for abdominal computed tomography (CT) is not known. Objectives: To analyse the clinical details provided on free-text request forms for abdominal CT following blunt trauma and assess their association with imaging evidence of intra-abdominal injury. Method: A single-institution, retrospective study of abdominal CT scans was performed for blunt trauma between 01 January and 31 March 2018. Computed tomography request forms were reviewed with their corresponding CT images. Clinical details provided and scan findings were captured systematically. The relationship between individual clinical features and CT evidence of abdominal injury was tested using one-way cross tabulation and Fisher’s exact test. Results: One hundred thirty-nine studies met inclusion criteria. A wide range of clinical details was communicated. Only clinical abdominal examination findings (p = 0.05), macroscopic haematuria (p 0.01), pelvic fracture or hip dislocation (p = 0.04) and positive focused assessment with sonography in trauma (p 0.01) demonstrated an associated trend with abdominal injury. Conclusion: Key abdominal examination and basic imaging findings remain essential clinical details for the appropriate evaluation of CT abdomen requests in the setting of blunt trauma. Methods to improve consistent communication of relevant clinical details are likely to be of value.https://sajr.org.za/index.php/sajr/article/view/1837blunt traumatomographyx-ray computedabdominal ctjustificationclinical contentelectronic referral. |
| spellingShingle | Kenneth B. Beviss-Challinor Martin Kidd Richard D. Pitcher How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? South African Journal of Radiology blunt trauma tomography x-ray computed abdominal ct justification clinical content electronic referral. |
| title | How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? |
| title_full | How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? |
| title_fullStr | How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? |
| title_full_unstemmed | How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? |
| title_short | How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen? |
| title_sort | how useful are clinical details in blunt trauma referrals for computed tomography of the abdomen |
| topic | blunt trauma tomography x-ray computed abdominal ct justification clinical content electronic referral. |
| url | https://sajr.org.za/index.php/sajr/article/view/1837 |
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