Evidence map›Paper›PMID 31807854›Full record

ArticlePediatric radiology2020

Utilization of computed tomography imaging in the pediatric emergency department.

Daniel Jack Frush, Clayton W Commander, Terry Scott Hartman, Aaron Kyle Cecil, Brian Douglas Handly, Daniel B Park, Lynn Ansley Fordham

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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 at 1 institution in 1 country.

Daniel Jack FrushDepartment of Pediatrics, University of North Carolina, 260 MacNider Building, CB# 7220, 321 S. Columbia St, Chapel Hill, NC, 27599, USA. df41@duke.edu.ORCID 0000-0001-7850-0222
Clayton W CommanderDepartment of Radiology, University of North Carolina, Chapel Hill, NC, USA.
Terry Scott HartmanDepartment of Radiology, University of North Carolina, Chapel Hill, NC, USA.
Aaron Kyle CecilDepartment of Pediatrics, University of North Carolina, 260 MacNider Building, CB# 7220, 321 S. Columbia St, Chapel Hill, NC, 27599, USA.
Brian Douglas HandlyDepartment of Radiology, University of North Carolina, Chapel Hill, NC, USA.
Daniel B ParkDepartment of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.
Lynn Ansley FordhamDepartment of Radiology, University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, there has been a movement toward more judicious use of computed tomography (CT) imaging in an attempt to limit exposure of pediatric patients to ionizing radiation. The Image Gently Alliance and like-minded movements began advocating for safe and high-quality pediatric imaging worldwide in the late 2000s.

objectiveIn the context of these efforts, we evaluate CT utilization rates in the pediatric emergency department at a major academic medical center. MATERIALS AND

methodsWe tracked utilization in several categories of CT, magnetic resonance imaging (MRI) and ultrasonography (US) between July 2008 and June 2017 and compared them with utilization rates from 2000 to 2006.

resultsA total of 4,955 pediatric patients underwent a total of 5,973 CT scans, 2,775 US studies and 293 MRI scans while in the pediatric emergency department during the 2008-2017 study period. We observed decreases in CT scans across all categories, ranging from a 19% decrease in abdominal CT to a 66% decrease in chest CT. Relatively greater decreases in CT scans were observed in patients younger than 3 years of age as compared to older children and adolescents. Abdominal and pelvic US increased. Brain MRI also increased over the final two years of the study.

conclusionCT utilization decreased throughout the 2008-2017 study period.

Indexed as

Emergency Service, HospitalRadiation ProtectionAcademic Medical CentersAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleTomography, X-Ray ComputedUltrasonographyChildrenComputed tomographyEmergency departmentUtilization

Identifiers

PMID31807854
OpenAlexW2991866494

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.