Evidence map›Paper›PMID 33638062›Full record

ArticleEmergency radiology2021

Quality use of diagnostic imaging in trauma, and the impact on emergency medical practice-a retrospective clinical audit.

Robert Peter Klein, Gary Velan, Noel Young, Amith Shetty, Michelle Moscova

Erratum issuedOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Emergency radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Robert Peter KleinFaculty of Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia.
Gary VelanFaculty of Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia.
Noel YoungFaculty of Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia.
Amith ShettyDepartment of Emergency Medicine, Westmead Hospital, Darcy Rd, Westmead, NSW, 2145, Australia.
Michelle MoscovaFaculty of Medicine & Health, University of New South Wales, Sydney, NSW, 2052, Australia. m.moscova@unsw.edu.au.ORCID http://orcid.org/0000-0001-7186-4242
UNSW Sydney · AUWestmead Hospital · AU

Funding

Research Training Program Scholarship, Australian Commonwealth Government N/A
6 · The paper itself

Abstract

purposeThe current study aimed to evaluate the appropriateness of the decisions made to order diagnostic imaging for emergency trauma patients.

methodsA retrospective audit of 642 clinical decisions for 370 non-consecutive trauma cases was conducted at a level 1 adult trauma centre. Radiographs and computed tomography investigations were compared for compliance with the American College of Radiology/European Society of Radiology (ACR/ESR) imaging guidelines. The non-compliant imaging orders were evaluated for the following medical officer ranks: Junior Medical Officer (JMO), Senior Resident Medical Officer (SRMO), Emergency Medicine Registrar (EMR) and Consultants/Career Medical Officer (CMO). The time of imaging order (day/evening or night shift), whether the imaging led to conservative or surgical patient management, and whether the imaging order decisions led to a change in the clinical management of the patient were also considered.

resultsNon-compliance with the ACR/ESR guidelines was low. At least half of non-compliant decisions made by each level of medical officer resulted in a change in patient management. In total, 11 (65%), 25 (53%), 12 (63%) and 11 (52%) of non-compliant imaging orders placed by JMOs, SRMOs, EMRs and Consultants, respectively, resulted in change of patient management. JMOs and SRMOs ordered a significantly higher proportion of non-compliant imaging studies for conservatively managed patients in comparison to surgically managed patients.

conclusionThis study highlighted that most non-compliant imaging orders benefited the patient.

Indexed as

Clinical AuditTomography, X-Ray ComputedAdultHumansRadiographyRetrospective StudiesClinical decision-makingDiagnostic imagingDoctor experienceEmergency medicineRadiologyTrauma

Identifiers

PMID33638062
OpenAlexW3129985309

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.