Evidence map›Paper›PMID 31617107›Full record

Observational studyEmergency radiology2020

Dedicated MRI in the emergency department to expedite diagnostic management of hip fracture.

Holly Gil, Ashley A Tuttle, Laura A Dean, David A Johnson, David Portelli, Janette Baird, Neha P Raukar

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Emergency radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Holly GilDepartment of Radiology, Brown University, Providence, RI, USA.
Ashley A TuttleDepartment of Radiology, Brown University, Providence, RI, USA.
Laura A DeanAlpert Medical School of Brown University, Providence, RI, USA.
David A JohnsonDepartment of Radiology, Brown University, Providence, RI, USA.
David PortelliDepartment of Emergency Medicine, Brown University, Providence, RI, USA.
Janette BairdDepartment of Emergency Medicine, Brown University, Providence, RI, USA.
Neha P RaukarDepartment of Emergency Medicine, Brown University, Providence, RI, USA. Raukar.Neha@mayo.edu.ORCID http://orcid.org/0000-0002-3495-6479

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the effect on time to diagnosis of making MRI imaging for hip fractures available directly in the emergency department (ED).

methodsWe conducted a retrospective observational study of patients with MRI imaging of the hip for suspected occult fracture, comparing time to diagnosis and time to disposition of populations imaged in the year preceding and the year following installation of an MRI scanner in the ED.

resultsTime to diagnosis of hip fractures was 709 min before installation of a dedicated ED MRI scanner and 280 min after, a 60% reduction. Including the MRI in the diagnostic workup did not increase ED throughput time, and we were able to save 48% of the patients who had an ED-based MRI from an admission to the hospital.

conclusionImplementation of an MRI scanner for dedicated emergency department use enables faster hip fracture diagnosis and surgical consultation, or definitive disposition without increasing ED throughput time.

Indexed as

Emergency Service, HospitalAgedDiagnosis, DifferentialHip FracturesHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesEmergencyHip fractureMRITriage

Identifiers

PMID31617107

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.