Study Design. Retrospective study. Objective. Assess frequency of repeat spine imaging in patients transferred with known spine injuries from outside hospital (OSH) to tertiary receiving institution (RI). Summary of Background Data. Unnecessary repeat imaging after transfer has started to become a recognized problem with the obvious issues related to repeat imaging along with potential for iatrogenic injury with movement of patients with spine problems. Methods. Consecutive adult patients presenting to a single 1-level trauma center with spine injuries during a 51-month period were reviewed (n = 4500), resulting in 1427 patients transferred from OSH emergency department. All imaging and radiology reports from the OSH were reviewed, as well as studies performed at RI. A repeat was the same imaging modality used on the same spine region as OSH imaging. Results. The overall rate of repeat spine imaging for both OSH imaging sent and not sent was 23%, and 6% if repeat spine imaging via traumagram (partial/ full-body computed tomography [CT]) was excluded as a repeat. The overall rate of repeat CT was 29% (7% dedicated spine CT scans and 22% part of nondedicated spine CT scan). An observation of only those patients with OSH imaging that was sent and viewable revealed that 23% underwent repeat spine imaging with 23% undergoing repeat spine CT and 41% repeat magnetic resonance imaging. In those patients with sent and viewable OSH imaging, a lack of reconstructions prompted 14% of repeats, whereas inadequate visualization of injury site prompted 8%. In only 8% of the repeats did it change management or provide necessary surgical information. Conclusion. This study is the first to investigate the frequency of repeat spine imaging in transfers with known spine injuries and found a substantially high rate of repeat spine CT with minimal alteration in care. Potential solutions include only performing scans at the OSH necessary to establish a diagnosis requiring transfer and improving communication between OSH and RI physicians.
机构:
Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
Tong, Gregory E.
Staudenmayer, Kristan
论文数: 0引用数: 0
h-index: 0
机构:
Stanford Univ, Sch Med, Dept Surg, Stanford, CA 94305 USAUniv Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
Staudenmayer, Kristan
Lin, Feng
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
Lin, Feng
Hsia, Renee Y.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
机构:
Seoul Natl Univ Hosp, Emergency Nursing Dept, Seoul, South Korea
Seoul Natl Univ, Coll Nursing, Seoul, South KoreaSeoul Natl Univ Hosp, Emergency Nursing Dept, Seoul, South Korea
Lee, Hyungbok
Lee, Sangrim
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ Hosp, Emergency Nursing Dept, Seoul, South Korea
Seoul Natl Univ, Coll Nursing, Seoul, South KoreaSeoul Natl Univ Hosp, Emergency Nursing Dept, Seoul, South Korea
Lee, Sangrim
Kim, Hyeoneui
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ, Coll Nursing, Seoul, South Korea
Seoul Natl Univ, Res Inst Nursing Sci, Seoul, South Korea
Seoul Natl Univ, Coll Nursing, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Emergency Nursing Dept, Seoul, South Korea
机构:
Henry Ford Hlth Syst, Dept Radiol, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Griffith, Brent
Vallee, Phyllis
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Emergency Med, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Vallee, Phyllis
Krupp, Seth
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Emergency Med, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Krupp, Seth
Jung, Melissa
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Radiol, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Jung, Melissa
Slezak, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Emergency Med, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Slezak, Michelle
Nagarwala, Jumana
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Emergency Med, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Nagarwala, Jumana
Loeckner, C. Patrick
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Emergency Med, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Loeckner, C. Patrick
Schultz, Lonni R.
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Publ Hlth Sci, Detroit, MI USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
Schultz, Lonni R.
Jain, Rajan
论文数: 0引用数: 0
h-index: 0
机构:
Henry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
NYU, Dept Radiol, Langone Med Ctr, New York, NY 10016 USAHenry Ford Hlth Syst, Dept Radiol, Detroit, MI USA
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
Zimmerman, DR
McCartenGibbs, KA
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
McCartenGibbs, KA
DeNoble, DH
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
DeNoble, DH
Borger, C
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
Borger, C
Fleming, J
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
Fleming, J
Hsieh, M
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
Hsieh, M
Langer, JC
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
Langer, JC
Breckenridge, MB
论文数: 0引用数: 0
h-index: 0
机构:
UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT PEDIAT,NEW BRUNSWICK,NJ 08903
机构:
Fiona Stanley Hosp, Dept Rheumatol, Perth, WA, Australia
Univ Western Australia, Med Sch, Perth, WA, AustraliaFiona Stanley Hosp, Dept Rheumatol, Perth, WA, Australia
Mau, Aaron W. K.
Keen, Helen I.
论文数: 0引用数: 0
h-index: 0
机构:
Fiona Stanley Hosp, Dept Rheumatol, Perth, WA, Australia
Univ Western Australia, Med Sch, Perth, WA, AustraliaFiona Stanley Hosp, Dept Rheumatol, Perth, WA, Australia
Keen, Helen I.
Hill, Catherine L.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Elizabeth Hosp, Rheumatol Unit, Adelaide, SA, Australia
Univ Adelaide, Discipline Med, Adelaide, SA, AustraliaFiona Stanley Hosp, Dept Rheumatol, Perth, WA, Australia