Factors Affecting Emergency Department Computed Tomography Use in Children

Variability in computed tomography (CT) use during pediatric emergency department (ED) visits has been reported. Our objective was to identify patient and hospital characteristics associated with CT use during pediatric ED visits. Patients 7.63% of all pediatric visits. In multivariable analysis, ol...

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Bibliographic Details
Published in:The Journal of surgical research 2019-09, Vol.241, p.294-301
Main Authors: Lodwick, Daniel L., Cooper, Jennifer N., Lawrence, Amy E., Kelleher, Kelly J., Minneci, Peter C., Deans, Katherine J.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Computed tomography
Emergency medicine
Emergency Service, Hospital - statistics & numerical data
Female
Humans
Infant
Logistic Models
Male
NEDS
Pediatric
Radiation
Retrospective Studies
Tomography, X-Ray Computed - statistics & numerical data
United States
Utilization
Workload - statistics & numerical data
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Description
Summary:Variability in computed tomography (CT) use during pediatric emergency department (ED) visits has been reported. Our objective was to identify patient and hospital characteristics associated with CT use during pediatric ED visits. Patients 7.63% of all pediatric visits. In multivariable analysis, older age, male gender, private insurance, higher zip code level median income, and higher injury severity were all associated with an increased probability of receiving a CT scan (all P 5400 annual visits. Several patient-level and ED-level characteristics, including annual pediatric volume, are associated with the probability of a child having a CT scan during an ED visit. Future work should focus on determining drivers behind these associations to develop intervention strategies to decrease pediatric CT use.
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2019.04.014