ArticleBMC research notes2017
Lack of CT scanner in a rural emergency department increases inter-facility transfers: a pilot study.
Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Management of Adult Closed Head Injury in Rural Queensland Without Hospital-Based CT: A Retrospective Cohort Study.Emergency medicine Australasia : EMA · 2026Article
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- Diagnostically competitive performance of a physiology-informed generative multi-task network for contrast-free CT perfusion.Frontiers in human neuroscience · 2026Article
- X-ray-induced acoustic computed tomography: 3D X-ray absorption imaging from a single view.Science advances · 2024Article
- Four Transformer-Based Deep Learning Classifiers Embedded with an Attention U-Net-Based Lung Segmenter and Layer-Wise Relevance Propagation-Based Heatmaps for COVID-19 X-ray Scans.Diagnostics (Basel, Switzerland) · 2024Article
- The utility of computed tomography at a district-level public hospital in Cape Town.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- TomoRay: Generating Synthetic Computed Tomography of the Spine From Biplanar Radiographs.Neurospine · 2024Article
- Predicting and grading liver injury in the absence of computed tomographic imaging.Journal of family medicine and primary care · 2023Article
- Scoping review on diagnostic criteria and investigative approach in sepsis of unknown origin in critically ill patients.Journal of intensive care · 2022Article
- Conventional uroradiology with excretory urography: a forgotten art?The British journal of radiology · 2022Review
- Management of the Adnexal Mass: Considerations for the Family Medicine Physician.Frontiers in medicine · 2022Article
- Effect of deep learning-based assistive technology use on chest radiograph interpretation by emergency department physicians: a prospective interventional simulation-based study.BMC medical informatics and decision making · 2021Article
- The Role of Ultrasonography forDiagnosing Wilms Tumor in Developing Country.International journal of hematology-oncology and stem cell research · 2021Article
- Clinical and Laboratory Markers of Brain Abscess in Tetralogy of Fallot ('BA-TOF' Score): Results of a Case-Control Study and Implications for Community Surveillance.Journal of neurosciences in rural practice · 2021Article
- Can Emergency Physicians Perform Carotid Artery Point-of-Care Ultrasound to Detect Stenosis in Patients with TIA and Stroke? A Pilot Study.The western journal of emergency medicine · 2020Article
- A Canadian Rural Living Lab Hospital: Implementing solutions for improving rural emergency care.Future healthcare journal · 2020Article
- Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada.BMC health services research · 2020Article
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- Appropriate advanced imaging for minor traumatic brain injury: In adult patients presenting to a clinical setting.Canadian family physician Medecin de famille canadienArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveRural emergency departments (EDs) are an important gateway to care for the 20% of Canadians who reside in rural areas. Less than 15% of Canadian rural EDs have access to a computed tomography (CT) scanner. We hypothesized that a significant proportion of inter-facility transfers from rural hospitals without CT scanners are for CT imaging. Our objective was to assess inter-facility transfers for CT imaging in a rural ED without a CT scanner.
resultsWe selected a rural ED that offers 24/7 medical care with admission beds but no CT scanner. Descriptive statistics were collected from 2010 to 2015 on total ED visits and inter-facility transfers. Data was accessible through hospital and government databases. Between 2010 and 2014, there were respectively 13,531, 13,524, 13,827, 12,883, and 12,942 ED visits, with an average of 444 inter-facility transfers. An average of 33% (148/444) of inter-facility transfers were to a rural referral centre with a CT scan, with 84% being for CT scan. Inter-facility transfers incur costs and potential delays in patient diagnosis and management, yet current databases could not capture transfer times. Acquiring a CT scan may represent a reasonable opportunity for the selected rural hospital considering the number of required transfers.
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