Increase in Pediatric CT Scans in Emergency Departments

Appropriate interpretation necessary as majority of scans done in nonpediatric facilities

WEDNESDAY, April 6 (HealthDay News) -- The use of computed tomography (CT) scans in children presenting to U.S. emergency departments (EDs) has increased five-fold from 1995 to 2008, and mainly occurs in nonpediatric facilities, according to a study published online April 5 in Radiology.

David B. Larson, M.D., from the Cincinnati Children's Hospital Medical Center, and colleagues examined national trends and factors associated with the use of CT in children's presentations to the ED between 1995 and 2008. Using data from the National Hospital Ambulatory Medical Care Survey, an average of 7,375 pediatric ED presentations a year were sampled to assess the number and percentage of patients younger than 18 years who received a CT scan.

The investigators found that the number of pediatric ED visits that incorporated a CT scan increased five-fold from 0.33 million in 1995 to 1.65 million in 2008, representing a compound annual growth rate of 13.2 percent. The percentage of ED visits correlated with a CT scan increased from 1.2 percent in 1995 to 5.9 percent in 2008 (compound annual growth of 12.8 percent). The number of visits correlated with a CT scan at pediatric-focused EDs increased from 14,895 to 212,716, and those in nonpediatric-focused EDs increased from 316,133 to 1,438,413.

"Our finding of a substantial increase in the use of CT in children who visit EDs in the United States underscores the need for special attention to this vulnerable population to ensure that imaging is appropriately ordered, performed, and interpreted," the authors write.

One of the study authors disclosed a financial tie with Toshiba Medical Systems.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events