Evidence map›Paper›PMID 37173104›Full record

ArticleBMJ open2023

Utilisation and time to performance of diagnostic imaging in patients admitted to Danish emergency departments: a nationwide register-based study from 2007 to 2017.

Nanna Marie Christiansen, Mikkel Brabrand, Marianne Fløjstrup, Mickael Bech, Annmarie Touborg Lassen, Christian Backer Mogensen, Søren Bie Bogh

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Fracture trends in Denmark from 1997 to 2021.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. Article
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.

Nanna Marie ChristiansenDepartment of Anaesthesiology and Intensive Care, Esbjerg Hospital, University Hospital of Southern Denmark, Esbjerg, Denmark nanna.marie.christiansen2@rsyd.dk.ORCID 0000-0002-9098-9128
Mikkel BrabrandDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Marianne FløjstrupInstitute of Regional Health Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-3023-1638
Mickael BechDepartment of Political Science and Public Management, University of Southern Denmark, Odense, Denmark.
Annmarie Touborg LassenDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-4942-6152
Christian Backer MogensenInstitute for Regional Health Research, University of Southern Denmark, Aabenraa, Denmark.
Søren Bie BoghDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-6207-0501

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the development of diagnostic imaging utilisation in Denmark from 2007 to 2017, coinciding with a major national reform of the emergency healthcare system.

designNationwide descriptive register-based study.

settingAll public hospitals in Denmark.

participantsAll unplanned hospital contacts ≥18 years old at somatic hospitals in Denmark from 1 January 2007 to 31 December 2017. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was the probability of having CT, X-ray, MRI or ultrasound performed during hospitalisation in 2017 compared with 2007. The secondary outcome measure was receiving diagnostic imaging within 4 hours of hospitalisation.

resultsThe probability of having a radiological examination during unplanned hospital admission increased from 2007 to 2017 (CT: 3.5%-10.3%; MRI: 0.2%-0.8%; ultrasound: 2.3%-4.5%; X-ray: 23.8%-26.8%). For CT scan, the adjusted OR was 3.09 (95% CI: 2.73, 3.51); for MRI, the adjusted OR was 3.39 (95% CI: 1.87, 6.12) and for ultrasound, the adjusted OR was 1.93 (95% CI: 1.56, 2.38). The likelihood of having the examination within the first 4 hours in the hospital increased from 2007 to 2017. For X-ray, the adjusted OR was 1.39 (95% CI: 1.07, 1.56); for CT scan, the adjusted OR was 1.35 (95% CI: 1.16, 1.59); for MRI, the adjusted OR was 1.34 (95% CI: 1.09, 1.66) and for ultrasound, the adjusted OR was 1.38 (95% CI: 1.16, 1.64).

conclusionThis nationwide study describes the development of diagnostic imaging utilisation in Denmark from 2007 to 2017. The probability of receiving radiological examinations during unplanned hospitalisation increased over this period, and the time from hospital contact to performance decreased. This supports the notion that enhancement in radiological equipment will also lead to more frequent and faster utilisation.

Indexed as

Emergency Service, HospitalHospitalizationAdolescentDenmarkHospitals, PublicHumansTomography, X-Ray Computedaccident & emergency medicineorganisational developmentorganisation of health servicesradiology & imaging

Identifiers

PMID37173104
PMCPMC10186438

What OpenQuestion holds

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LicenceCC BY-NC
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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.