Appropriateness of Extremity Magnetic Resonance Imaging Examinations in an Academic Emergency Department Observation Unit

The Western Journal of Emergency Medicine
McKinley GloverAli S Raja

Abstract

Emergency departments (ED) and hospitals face increasing challenges related to capacity, throughput, and stewardship of limited resources while maintaining high quality. Appropriate utilization of extremity magnetic resonance imaging (MRI) examinations within the emergency setting is not well known. Therefore, this study aimed to determine indications for and appropriateness of MRI of the extremities for musculoskeletal conditions in the ED observation unit (EDOU). We conducted this institutional review board-approved, retrospective study in a large, quaternary care academic center and Level I trauma center. An institutional database was queried retrospectively to identify all adult patients undergoing an extremity MRI while in the EDOU during the two-year study period from October 2013 through September 2015. We compared clinical history with the American College of Radiology (ACR) Appropriateness Criteria® for musculoskeletal indications. The primary outcome was appropriateness of musculoskeletal MRI exams of the extremities; examinations with an ACR Criteria score of seven or higher were deemed appropriate. Secondary measures included MRI utilization and imaging findings. During the study period, 22,713 patients were evaluat...Continue Reading

References

Jul 12, 2002·European Radiology·K Bohndorf, R F Kilcoyne
Mar 15, 2005·The American Journal of Emergency Medicine·Liudvikas Jagminas, Robert Partridge
Oct 7, 2010·JAMA : the Journal of the American Medical Association·Frederick Kofi KorleyThomas Dean Kirsch
Dec 16, 2010·Health Care Management Review·Christopher W BaughJ Stephen Bohan
Mar 16, 2013·Journal of Neurointerventional Surgery·Ramon Gilberto GonzálezRajiv Gupta
Dec 19, 2013·Health Services Research·Jason M HockenberryMichael A Ross
Feb 19, 2014·Journal of the American Medical Informatics Association : JAMIA·Anurag GuptaRamin Khorasani
Sep 7, 2014·Annals of Emergency Medicine·Kristin L RisingJudy A Shea
May 10, 2015·The American Journal of Emergency Medicine·Anand M PrabhakarRahmi Oklu
Nov 18, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Hemal K KanzariaErik P Hess
May 7, 2016·Magnetic Resonance Imaging Clinics of North America·Andrew KompelAli Guermazi
May 7, 2016·Magnetic Resonance Imaging Clinics of North America·Manickam Kumaravel, William M Weathers
Nov 3, 2016·The New England Journal of Medicine·Luis Ticona, Kevin A Schulman

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Citations

Oct 12, 2021·Medical Physics·F VazquezA O Rodriguez

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