Observational studyEmergency radiology2026
Imaging appropriateness in pediatric emergency department using the American College of Radiology criteria: an observational study.
Observational study in Emergency radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEven though children are typically more susceptible to radiation-induced illnesses than adults, pediatric radiology is an essential part of contemporary practice. Consequently, one of the most important performance metrics for patient safety is the appropriateness of radiologic procedures. The appropriateness criteria of the American College of Radiology (ACR) are evidence-based guidelines designed to assist referring physicians and other healthcare providers in decision-making regarding diagnostic imaging.
methodsUsing ACR criteria as a reference, this study attempts to assess the suitability of radiologic procedures sought by pediatric emergency physicians. Furthermore, the investigation ought to pinpoint and emphasize possible causes of improper requests. A trainee operator consecutively collected 462 requests for radio diagnostic imaging for neurological diseases of the emergency department of an Italian pediatric hospital and used the pediatric panel of ACR criteria to rate the appropriateness of each request.
resultsDue to the absence of crucial clinical information, 24.7% of the requests were not complete. Of the complete requests, only 16.1% were classified as "usually appropriate", 29.9% as "may be appropriate", and 54.0% as "usually not appropriate". CT requests were commonly inappropriate (55.7%, p < 0.01).
conclusionOveruse of CT scans can result in costly procedures and unwarranted radiation exposure. In pediatric practice, communication between radiologists and emergency physicians should encourage the use of evidence-based decision-making.
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