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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.5 No.1
- 발행연도
- 2018.1
- 수록면
- 35 - 42 (8page)
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초록· 키워드
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Objective Many studies have proposed reducing unnecessary use of computed tomography (CT), and ongoing studies in pediatric populations are aiming to decrease radiation dosages whenever possible. We aimed to evaluate the long-term changes in the utilization patterns of CT and ultrasound (US) in pediatric emergency departments (PEDs). Methods This retrospective study reviewed the electronic medical data of patients who underwent CT and/or US in the PED of a tertiary referral hospital from 2000 to 2014. We compared the changes in utilization patterns of brain and abdominal CT scans in pediatric patients and analyzed changes in abdominal US utilization in the PED. Results During the study period, 196,371 patients visited the PED. A total of 12,996 brain and abdominal CT scans and 12,424 abdominal US were performed in the PED. Comparison of CT use in pediatric patients before and after 2007 showed statistically decreasing trends after 2007, expressed as the coefficient values of the differences in groups. The numbers of brain and abdominal CT scans showed a significant decreasing trend in children, except for abdominal CT in adolescents. The abdominal US/CT ratio in the PED showed a statistically significant increase (2.68; 95% confidence interval, 1.87 to 3.49) except for the adolescent group (5.82; 95% confidence interval, -2.06 to 13.69). Conclusion Overall, CT use in pediatric patients has decreased since 2007. Pediatric US use has also shown a decreasing trend; however, the abdominal US/CT ratio in pediatric patients showed an increasing trend, except for adolescents.
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참고문헌 (25)
참고문헌 신청
Hess EP / 2014 / Trends in computed tomography utilization rates: a longitudinal practice-based study / J Patient Saf 10:52~58
Broder J / 2007 / Increasing utilization of computed tomography in the pediatric emergency department, 2000-2006 / Emerg Radiol 14:227~232
Ahn S / 2014 / Advanced radiology utilization in a tertiary care emergency department from 2001 to 2010 / PLoS One 9:e112650
Kocher KE / 2011 / National trends in use of computed tomography in the emergency department / Ann Emerg Med 58:452~462
오혜연 / 2012 / Trends of CT Use in the Adult Emergency Department in a Tertiary Academic Hospital of Korea during 2001-2010 / Korean Journal of Radiology 13(5):536~540
Broder J / 2007 / Increasing utilization of computed tomography in the pediatric emergency department, 2000-2006 / Emerg Radiol 14:227~232
Ahn S / 2014 / Advanced radiology utilization in a tertiary care emergency department from 2001 to 2010 / PLoS One 9:e112650
Kocher KE / 2011 / National trends in use of computed tomography in the emergency department / Ann Emerg Med 58:452~462
오혜연 / 2012 / Trends of CT Use in the Adult Emergency Department in a Tertiary Academic Hospital of Korea during 2001-2010 / Korean Journal of Radiology 13(5):536~540
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