Intestinal obstruction: trends in imaging utilization and their influence in its rising hospital bill.

Emergency Radiology
Hansel J OteroPablo R Ros

Abstract

The purpose of the study was to evaluate trends in the utilization of different imaging modalities and review how imaging utilization practices affect hospital charges for patients with intestinal obstruction. All patients discharged with a primary diagnosis of intestinal obstruction during 6 fiscal years (1999-2004) were retrospectively studied. We obtained data on patients' demographics, procedures, outcomes, imaging services utilization, and hospital and imaging charges from our institution's transition system (a clinical and financial decision support software system). The institutional review board approved this study. Surgery was performed in 26% of patients in 1999 and in 40% in 2004 (p = 0.01) with the mortality rate significantly (p < 0.01) dropping from 3.8% to 0.4%. A total of 5,292 abdominal imaging studies were obtained; 93% of those were either abdominal radiographs or abdomino-pelvic computed tomography (CT) scans. CT studies per patient increased from 0.5 in 1999 to 1 in 2004 (p < 0.01), while abdominal radiographs (mean = 2.4) did not significantly change over the entire study period (p = 0.6). Average imaging charges doubled during the study period ($1,572 to $3,012, p < 0.01). Average hospital charges increas...Continue Reading

References

Apr 1, 1992·AJR. American Journal of Roentgenology·T FukuyaT J Barloon
Jan 1, 1982·Annals of Internal Medicine·S A Finkler
Jan 1, 1994·AJR. American Journal of Roentgenology·G S GazelleP R Mueller
Feb 1, 1994·AJR. American Journal of Roentgenology·E J Balthazar
Apr 1, 1996·Academic Radiology·B J Hillman
Dec 1, 1996·AJR. American Journal of Roentgenology·D D MaglinteS N Gage
Apr 5, 2000·AJR. American Journal of Roentgenology·E M Caoili, E K Paulson
Nov 25, 2000·AJR. American Journal of Roentgenology·M ZalcmanD V Gansbeke
Jan 3, 2001·AJR. American Journal of Roentgenology·J C LappasD D Maglinte
Mar 22, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·A FurukawaT Sakamoto
May 16, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M BoudiafR Rymer
Mar 14, 2002·Journal of the American Geriatrics Society·C M CallahanT E Stump
Apr 18, 2002·AJR. American Journal of Roentgenology·Bharti KhuranaPablo R Ros
Dec 17, 2002·Gastroenterology Clinics of North America·David Frager
Feb 20, 2003·Abdominal Imaging·E DelabrousseB Kastler
Mar 28, 2003·Radiologic Clinics of North America·Karen M Horton, Elliot K Fishman
Mar 28, 2003·Radiologic Clinics of North America·Dean D T MaglinteJohn C Lappas
Feb 3, 2005·Abdominal Imaging·D D T MaglinteT J Howard
Apr 19, 2005·Radiology·Molly T Beinfeld, G Scott Gazelle
May 3, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rebecca D MalloDavid R Flum
Oct 28, 2005·Advances in Surgery·Awori J HayangaGregory B Bulkley
Nov 29, 2005·Journal of the American College of Surgeons·Nina A BickellArthur H Aufses
Mar 21, 2007·Academic Radiology·Bruce J Hillman
Apr 7, 2007·Journal of the American College of Radiology : JACR·Pablo R Ros, James E Huprich
Jul 3, 2007·Journal of the American College of Radiology : JACR·Stephen R Baker
Nov 28, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·P Marco FisichellaW Scott Helton

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Citations

Nov 7, 2017·Health Systems·Murray J Côté, Marlene A Smith

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