SynthesisThe American journal of emergency medicine2018
Factors associated with imaging overuse in the emergency department: A systematic review.
Synthesis in The American journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
What it found
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Who cites it
38 citing papers in PubMed, 79 citations in OpenAlex.
- Routine repeat computed tomography of the head in patients with mild traumatic brain injury: is it really necessary?Emergency radiology · 2026Article
- Non-medical drivers of health and imaging patterns in intimate partner violence.Emergency radiology · 2026Article
- A qualitative study of emergency physicians' perspective on the emergency journey of older patients.BMC health services research · 2026Article
- Emergency physicians' perceptions and optimization strategies for diagnostic imaging overuse in Somalia.BMC emergency medicine · 2026Article
- The yield of computed tomography scan in the emergency department, tertiary care center, Saudi Arabia.International journal of emergency medicine · 2026Article
- Diagnostic yield and utilization patterns of head and neck computed tomography angiography.Journal of clinical imaging science · 2026Article
- CT Brain Utilization After Low-Risk Head Injury in Adults: A Retrospective Cohort Study and Literature Review.Cureus · 2026Article
- Association Between Early Point-of-Care Ultrasound and Emergency Department Outcomes in Admitted Patients with Non-Traumatic Abdominal Pain: A Propensity Score-Weighted Cohort Analysis.Diagnostics (Basel, Switzerland) · 2025Article
- Overuse of head CT scans in non-traumatic paediatric cases in the West Bank, Palestine: a cross-sectional study.BMJ open · 2025Article
- Evaluating acute image ordering for real-world patient cases via language model alignment with radiological guidelines.Communications medicine · 2025Article
- Computed Tomographic Angiography and Yield for Gastrointestinal Bleeding in the Emergency Department.JAMA network open · 2025Article
- Projected Lifetime Cancer Risks From Current Computed Tomography Imaging.JAMA internal medicine · 2025Observational
- Exploring diagnostic stewardship in the emergency department evaluation of pediatric abdominal pain in a statewide quality collaborative.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Evaluating the Accuracy and Impact of the ESR-iGuide Decision Support Tool in Optimizing CT Imaging Referral Appropriateness.Journal of imaging informatics in medicine · 2025Article
- Assessing context and readiness of emergency medicine physicians to promote evidence-based imaging referral guidelines: a mixed-methods study.Translational behavioral medicine · 2025Article
- Radiation exposure in recurrent medical imaging: identifying drivers and high-risk populations.Frontiers in public health · 2025Review
- Article
- An analysis of disparities in imaging for suspected traumatic brain injury among patient visits to emergency departments (2010-2021).Frontiers in neurology · 2025Article
- The Future of Artificial Intelligence in Clinical Radiology: Savior or False Hope?AJNR. American journal of neuroradiology · 2024Article
- NeuroMix with MRA: A Fast MR Protocol to Reduce Head and Neck CTA for Patients with Acute Neurologic Presentations.AJNR. American journal of neuroradiology · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEmergency departments (ED) are sites of prevalent imaging overuse; however, determinants that drive imaging in this setting are not well-characterized. We systematically reviewed the literature to summarize the determinants of imaging overuse in the ED.
methodsWe searched MEDLINE® and Embase® from January 1998 to March 2017. Studies were included if they were written in English, contained original data, pertained to a U.S. population, and identified a determinant associated with overuse of imaging in the ED.
resultsTwenty relevant studies were included. Fourteen evaluated computerized tomography (CT) scanning in patents presenting to a regional ED who were then transferred to a level 1 trauma center; incomplete transfer of data and poor image quality were the most frequently described reasons for repeat scanning. Unnecessary pre-transfer scanning or repeated scanning after transfer, in multiple studies, was highest among older patients, those with higher Injury Severity Scores (ISS) and those being transferred further. Six studies explored determinants of overused imaging in the ED in varied conditions, with overuse greater in older patients and those having more comorbid diseases. Defensive imaging reportedly influenced physician behavior. Less integration of services across the health system also predisposed to overuse of imaging.
conclusionsThe literature is heterogeneous with surprisingly few studies of determinants of imaging in minor head injury or of spine imaging. Older patient age and higher ISS were the most consistently associated with ED imaging overuse. This review highlights the need for precise definitions of overuse of imaging in the ED.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.