Observational studyBMJ open2016
Trends of CT utilisation in an emergency department in Taiwan: a 5-year retrospective study.
Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Computer tomography imaging for suspected acute aortic syndrome.Irish journal of medical science · 2026Article
- Trends in CT use in an emergency department in Western Australia: 2015-2022.Insights into imaging · 2025Article
- Fizz-computed tomography as a novel modality of objective esophageal hiatal assessment.Langenbeck's archives of surgery · 2025Article
- The effect of colchicine on cancer risk in patients with immune-mediated inflammatory diseases: a time-dependent study based on the Taiwan's National Health Insurance Research Database.European journal of medical research · 2024Article
- The Growing Problem of Radiologist Shortage: Taiwan's Perspective.Korean journal of radiology · 2023Article
- Impact of Fatigue on Emergency Physicians' Decision-making for Computed Tomographic Scan Requests and Inpatient Referrals: An Observational Study from a Tertiary Care Medical Center of the Sultanate of Oman.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- The association of radiologic body composition parameters with clinical outcomes in level-1 trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Incomplete Recovery from the Radiocontrast-Induced Dysregulated Cell Cycle, Adhesion, and Fibrogenesis in Renal Tubular Cells after Radiocontrast (Iohexol) Removal.International journal of molecular sciences · 2023Article
- Letter to the editor: "Utilization of CT and MRI scanning in Taiwan, 2000-2017".Insights into imaging · 2023Article
- Utilization of CT and MRI scanning in Taiwan, 2000-2017.Insights into imaging · 2023Article
- To err is human; acute appendicitis a mistaken clinical identity for metastatic follicular thyroid carcinoma, a case report.International journal of surgery case reports · 2022Article
- Article
- Radiological Screening Methods in Deceased Organ Donation: An Overview of Guidelines Worldwide.Transplant international : official journal of the European Society for Organ Transplantation · 2022Review
- Observational
- Trends in computed tomography scan uses in Taiwan from 2000 to 2013.Journal of the Chinese Medical Association : JCMA · 2019Article
- Radiation doses with various body weights of phantoms in brain 128-slice MDCT examination.Journal of radiation research · 2019Article
- Radiation Safety in Emergency Medicine: Balancing the Benefits and Risks.Korean journal of radiology · 2019Review
- Article
- Observational
- Computed Tomography: Return on Investment and Regional Disparity Factor Analysis.Frontiers in public health · 2018Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the association between the trends of CT utilisation in an emergency department (ED) and changes in clinical imaging practice and patients' disposition.
settingA hospital-based retrospective observational study of a public 1520-bed referral medical centre in Taiwan.
participantsAdult ED visits (aged ≥18 years) during 2009-2013, with or without receiving CT, were enrolled as the study participants.
main outcome measuresFor all enrolled ED visits, we retrospectively analysed: (1) demographic characteristics, (2) triage categories, (3) whether CT was performed and the type of CT scan, (4) further ED disposition, (5) ED cost and (6) ED length of stay.
resultsIn all, 269 239 adult ED visits (148 613 male patients and 120 626 female patients) were collected during the 5-year study period, comprising 38 609 CT scans. CT utilisation increased from 11.10% in 2009 to 17.70% in 2013 (trend test, p<0.001). Four in 5 types of CT scan (head, chest, abdomen and miscellaneous) were increasingly utilised during the study period. Also, CT was increasingly ordered annually in all age groups. Although ED CT utilisation rates increased markedly, the annual ED visits did not actually increase. Moreover, the subsequent admission rate, after receiving ED CT, declined (59.9% in 2009 to 48.2% in 2013).
conclusionsED CT utilisation rates increased significantly during 2009-2013. Emergency physicians may be using CT for non-emergent studies in the ED. Further investigation is needed to determine whether increasing CT utilisation is efficient and cost-effective.
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