ArticleActa bio-medica : Atenei Parmensis2021
Potentially inappropriate brain CT-scan requesting in the emergency department: A retrospective study in patients with neurologic complaints.
Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Elective one-minute full brain multi-contrast MRI versus brain CT in pediatric patients: a prospective feasibility study.BMC medical imaging · 2024Trial
- Diagnostic hypotheses and acute tomographic findings in the emergency room of a tertiary hospital: an accuracy study.Revista do Colegio Brasileiro de Cirurgioes · 2026Article
- Length of stay in the emergency department and its associated input-, throughput-, and output factors at two hospitals in Sweden.BMC emergency medicine · 2025Article
- Density of routinely collected neurology data depends on patient visit type: an investigation using the observational medical outcomes partnership common data model.BMJ neurology open · 2025Article
- Cranial Computer Tomography with Photon Counting and Energy-Integrated Detectors: Objective Comparison in the Same Patients.Diagnostics (Basel, Switzerland) · 2024Article
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Authors and funding
4 authors.
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Abstract
backgroundPotentially inappropriate brain CT scan requesting in the emergency department imposes extra charges to the healthcare system and patients. Besides, the unnecessary radiation exposure may cause irreparable damage to the patient. In this study we investigated the percentage of potentially inappropriately conducted brain CT scan for different chief complaints in non-traumatic patients presented to our emergency department. Material and methods: 160 patients aged over 18 years old with chief complaints other than trauma, referred to the emergency department of Imam Hossein Hospital (Tehran, Iran), were enrolled in this study. Data were collected from medical records; the inclusion criteria was patients older than 18 years with chief complaint other than trauma. Results: 160 people aged 18 to 100 years old enrolled in this study, 83 (51.87%) were male and 77 (48.13%) were female. There was no statistically significant difference in terms of potentially inappropriate brain CT between different age groups. Percentage of potentially inappropriate CT according to chief complaints were as follows: 4.8% for dysarthria, 0% for right and left hemiplegia, 9.1% for decreased level of consciousness, 30% for nausea and vomiting, 41.7% for generalized weaknesses, 0% for seizures, 55.6% for vertigo, 25% for headache, and 57.7% for other complaints. There was a statistically significant association between chief complaints and potentially inappropriate brain CT scan requests (p-value = 0.001).
conclusionConsidering the significant percentage of potentially inappropriate brain CT scan requests for non-traumatic patients in the setting of emergency department, it is critical for healthcare policymakers to propose practical guidelines and supervise their application.
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