Holly Gil1, Ashley A Tuttle1, Laura A Dean2, David A Johnson1, David Portelli3, Janette Baird3, Neha P Raukar4,5. 1. Department of Radiology, Brown University, Providence, RI, USA. 2. Alpert Medical School of Brown University, Providence, RI, USA. 3. Department of Emergency Medicine, Brown University, Providence, RI, USA. 4. Department of Emergency Medicine, Brown University, Providence, RI, USA. Raukar.Neha@mayo.edu. 5. Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. Raukar.Neha@mayo.edu.
Abstract
PURPOSE: To determine the effect on time to diagnosis of making MRI imaging for hip fractures available directly in the emergency department (ED). METHODS: We conducted a retrospective observational study of patients with MRI imaging of the hip for suspected occult fracture, comparing time to diagnosis and time to disposition of populations imaged in the year preceding and the year following installation of an MRI scanner in the ED. RESULTS: Time to diagnosis of hip fractures was 709 min before installation of a dedicated ED MRI scanner and 280 min after, a 60% reduction. Including the MRI in the diagnostic workup did not increase ED throughput time, and we were able to save 48% of the patients who had an ED-based MRI from an admission to the hospital. CONCLUSION: Implementation of an MRI scanner for dedicated emergency department use enables faster hip fracture diagnosis and surgical consultation, or definitive disposition without increasing ED throughput time.
PURPOSE: To determine the effect on time to diagnosis of making MRI imaging for hip fractures available directly in the emergency department (ED). METHODS: We conducted a retrospective observational study of patients with MRI imaging of the hip for suspected occult fracture, comparing time to diagnosis and time to disposition of populations imaged in the year preceding and the year following installation of an MRI scanner in the ED. RESULTS: Time to diagnosis of hip fractures was 709 min before installation of a dedicated ED MRI scanner and 280 min after, a 60% reduction. Including the MRI in the diagnostic workup did not increase ED throughput time, and we were able to save 48% of the patients who had an ED-based MRI from an admission to the hospital. CONCLUSION: Implementation of an MRI scanner for dedicated emergency department use enables faster hip fracture diagnosis and surgical consultation, or definitive disposition without increasing ED throughput time.
Authors: Sean R Morrison; Jay Magaziner; Mary Ann McLaughlin; Gretchen Orosz; Stacey B Silberzweig; Kenneth J Koval; Albert L Siu Journal: Pain Date: 2003-06 Impact factor: 6.961
Authors: Robert J Ward; Barbara N Weissman; Mark J Kransdorf; Ronald Adler; Marc Appel; Laura W Bancroft; Stephanie A Bernard; Michael A Bruno; Ian Blair Fries; William B Morrison; Timothy J Mosher; Catherine C Roberts; Stephen C Scharf; Michael J Tuite; Adam C Zoga Journal: J Am Coll Radiol Date: 2013-12-22 Impact factor: 5.532
Authors: R Sean Morrison; Jay Magaziner; Marvin Gilbert; Kenneth J Koval; Mary Ann McLaughlin; Gretchen Orosz; Elton Strauss; Albert L Siu Journal: J Gerontol A Biol Sci Med Sci Date: 2003-01 Impact factor: 6.053