Lorenzo Carlo Pescatori1, Matteo Brambati2, Carmelo Messina3, Giovanni Mauri4, Giovanni Di Leo5, Enzo Silvestri6, Francesco Sardanelli5,7, Luca Maria Sconfienza3,7. 1. Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Italia Piazza Edmondo Malan, 1, San Donato Milanese, 20097, Milan, Italy. lorenzo.carlo.pescatori@gmail.com. 2. Dipartimento di Biotecnologie e Scienze della Vita, Università degli Studi dell'Insubria, Varese, Italy. 3. Unità Operativa di Radiologia / Diagnostica per Immagini con Servizio di Radiologia Interventistica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. 4. Dipartimento di Radiologia Interventistica, Istituto Europeo di Oncologia, Milan, Italy. 5. Unità di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy. 6. Servizio di Radiologia, Ospedale Evangelico Internazionale, Genova, Italy. 7. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, San Donato Milanese, Milan, Italy.
Abstract
AIM: To evaluate the clinical impact of CT scan in modifying the clinical management in patients referred to the emergency department. METHODS: We prospectively evaluated 300 patients (177 males, 63 ± 18 years old) admitted in the emergency department (ED) of a single institution, who underwent a CT examination for thoracic and/or abdominal complains. Demographic and clinical data were collected. Hypothesized outcome prior to CT scan and final management (i.e., discharge, short observation in the ED, hospitalization, and department of admission) were compared. RESULTS: After CT examination, a major variation in diagnosis occurred in 37% of cases and clinical management changed in 43%, occurring in 51% of patients who underwent abdominal CT, in 40% of chest CT, and in 29% of chest/abdominal CT (P = 0.015). Department of hospitalization changed in 26% of cases (P < 0.001). Clinical impact of CT scan was significantly associated (P = 0.001) with the color code at admission. In particular, the more severe was the clinical condition, the lower was the variation of management after CT examination. CONCLUSIONS: This work confirms the crucial role of CT examination in the management of nontraumatic patients admitted to the ED, both in terms of better clarifying the diagnosis and in influencing the clinical management.
AIM: To evaluate the clinical impact of CT scan in modifying the clinical management in patients referred to the emergency department. METHODS: We prospectively evaluated 300 patients (177 males, 63 ± 18 years old) admitted in the emergency department (ED) of a single institution, who underwent a CT examination for thoracic and/or abdominal complains. Demographic and clinical data were collected. Hypothesized outcome prior to CT scan and final management (i.e., discharge, short observation in the ED, hospitalization, and department of admission) were compared. RESULTS: After CT examination, a major variation in diagnosis occurred in 37% of cases and clinical management changed in 43%, occurring in 51% of patients who underwent abdominal CT, in 40% of chest CT, and in 29% of chest/abdominal CT (P = 0.015). Department of hospitalization changed in 26% of cases (P < 0.001). Clinical impact of CT scan was significantly associated (P = 0.001) with the color code at admission. In particular, the more severe was the clinical condition, the lower was the variation of management after CT examination. CONCLUSIONS: This work confirms the crucial role of CT examination in the management of nontraumatic patients admitted to the ED, both in terms of better clarifying the diagnosis and in influencing the clinical management.
Authors: Alexandre Dugas; Eric Therasse; Claude Kauffmann; An Tang; Stephane Elkouri; Anna Nozza; Marie-France Giroux; Vincent L Oliva; Gilles Soulez Journal: Cardiovasc Intervent Radiol Date: 2011-08-24 Impact factor: 2.740
Authors: Jonathan D Eisenberg; Andrew T Reisner; William D Binder; Atif Zaheer; Martin L Gunn; Ken F Linnau; Chad M Miller; Angela C Tramontano; Maurice S Herring; Emily C Dowling; Elkan F Halpern; Karen Donelan; G Scott Gazelle; Pari V Pandharipande Journal: AJR Am J Roentgenol Date: 2017-01-11 Impact factor: 3.959
Authors: Luca Maria Sconfienza; Giovanni Mauri; Claudia Muzzupappa; Alessandro Poloni; Michele Bandirali; Anastassia Esseridou; Stefania Tritella; Francesco Secchi; Giovanni Di Leo; Francesco Sardanelli Journal: World J Radiol Date: 2015-10-28
Authors: Marco Di Serafino; Daniela Viscardi; Francesca Iacobellis; Luigi Giugliano; Luigi Barbuto; Gaspare Oliva; Roberto Ronza; Antonio Borzelli; Antonio Raucci; Filomena Pezzullo; Maria Giovanna De Cristofaro; Luigia Romano Journal: Insights Imaging Date: 2021-06-05