Prospective evaluation of an evidence-based decision tool to assess pediatric blunt abdominal trauma (BAT) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-09-29

AUTHORS

Elizabeth Boudiab, Samer Kawak, Alan Tom, Diane Studzinski, Nathan Novotny, Pavan Brahmamdam, Begum Akay

ABSTRACT

PurposeComputed tomography (CT) is currently the standard for evaluation of intra-abdominal injury (IAI) after BAT. Pediatric patients receiving CT scans based on adult clinical protocols are potentially exposed to unnecessary radiation. The purpose of this study is to determine the rate of CT scans before and after implementation of a pediatric BAT decision tool.MethodsWe adapted and implemented an evidence-based decision tool for pediatric BAT based on five clinical variables. We reviewed patient charts 18 months pre- and post-implementation. Demographics and outcomes were compared using Chi-square and Fisher’s exact test, accordingly.ResultsThe pre and post-implementation groups were uniform when comparing age, sex, mechanism, and Injury Severity Score. The decision tool was utilized in 85% of patients post-implementation. Fewer CT scans were obtained in the post-implementation group (28 vs. 21%, p = 0.215) with no missed injuries or late diagnoses.ConclusionImplementation of a pediatric BAT decision tool decreased CT usage and radiation exposure without an obvious compromise to patient care. This experience supports the utilization of these tools for the assessment of IAI after BAT and have resulted in more selective use of CT during pediatric BAT in our program. More... »

PAGES

183-191

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Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-021-05013-x

DOI

http://dx.doi.org/10.1007/s00383-021-05013-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1141488777

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34586483


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