The value of official reinterpretation of trauma computed tomography scans from referring hospitals

Journal of Pediatric Surgery
Chinwendu Onwubiko, David P Mooney

Abstract

Historically, computed tomography (CT) scans of injured children obtained at referring emergency departments were not reinterpreted by trauma center radiologists at our institution, creating a dilemma for trauma physicians: rescan, use the outside interpretation, or interpret scans themselves. In 2010, our radiologists began reinterpreting all referring hospital trauma CT scans; this study examines the effect of that change. Transferred patients who had undergone an abdomen/pelvis CT (CTAP) scan between December 2010 and December 2012 were identified in our trauma registry. Pediatric radiologist reinterpretations were compared to referring hospital radiologist reports. We identified 168 patients transferred to our institution with a CTAP. Seventy patients were excluded owing to lack of: complete study, referring hospital interpretation, or reinterpretation. Of the remaining 98 cases, 12 new injuries were identified: 3 splenic and 3 liver injuries, 1 adrenal hematoma, 2 pelvic fractures, 1 spinal fracture, 1 duodenal hematoma and 1 jejunal perforation. Three patients had solid organ injuries upgraded (grade II to III liver laceration; 2 renal lacerations with active extravasation initially missed), and 4 patients downgraded to n...Continue Reading

References

May 26, 2005·Radiology·Robert T Bramson, George A Taylor
Nov 14, 2012·The Journal of Trauma and Acute Care Surgery·Alvin C JonesGeorge K Bal
Apr 30, 2013·Annals of Emergency Medicine·Benjamin T KerreyUNKNOWN Pediatric Emergency Care Applied Research Network

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Citations

Sep 25, 2018·AJR. American Journal of Roentgenology·Anup S ShettyKathryn J Fowler
Jul 10, 2016·Journal of X-ray Science and Technology·Naixiong PengYuanyuan Zhang
Aug 11, 2017·AJR. American Journal of Roentgenology·Sonja KinnerMichael D Repplinger
Mar 30, 2018·Insights Into Imaging·Håkan Geijer, Mats Geijer
Jun 15, 2021·The American Journal of Emergency Medicine·Jason P MillerNirupama Kannikeswaran
Aug 10, 2021·Journal of Clinical and Translational Science·Rosemary NabaweesiRaghu H Ramakrishnaiah

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