Performance of CT examinations in children with suspected acute appendicitis in the community setting: a need for more education

AJR. American Journal of Roentgenology
Michael E KimGeorge S Bisset

Abstract

Despite a recent focus on the preferential use of ultrasound over CT for pediatric appendicitis, most children transferred from community hospitals still undergo diagnostic CT scans. The purpose of this study was to evaluate CT techniques performed for children with acute appendicitis at nonpediatric treatment centers. All patients treated for acute appendicitis at our tertiary-care pediatric hospital from July 1, 2011, through June 30, 2012, were identified. Patient demographics, imaging modality used to diagnoses appendicitis (CT or ultrasound), location (home or referral institution), and CT technique parameters were collected. The estimated mean organ radiation dose, number of imaging phases, and use of contrast media were evaluated at home and referral institutions. During the study period, 1215 patients underwent appendectomies after imaging, with 442 (36.4%) imaged at referral facilities. Most referral patients received a diagnosis by CT (n=384, 87%), compared with 73 of 773 (9.4%) who received a diagnosis by CT at the home institution. The estimated mean (±SD) organ radiation dose was not statistically significantly different between home and referral institutions (13.5±7.3 vs 12.9±6.4 mGy; p=0.58) for single-phase exam...Continue Reading

References

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Citations

Nov 18, 2015·Pediatric Radiology·Emily S Orscheln, Andrew T Trout
Jul 21, 2016·World Journal of Emergency Surgery : WJES·Salomone Di SaverioRoland Andersson
Sep 7, 2016·Journal of the American College of Radiology : JACR·Donald P Frush
Oct 4, 2016·Journal of Pediatric Surgery·K Tinsley AndersonKuoJen Tsao
Dec 10, 2016·Journal of Comparative Effectiveness Research·Kara ContrearyEugene C Rich
May 18, 2019·Journal of Pediatric Surgery·Yangyang R YuBindi J Naik-Mathuria

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