Monday, October 8, 2012
Imaging for Acute Abdominal Pain in the Emergency Department: Increases Might Signal a CAT-astrophe!
doi: 10.1542/peds.2012-0739) share the results of a very interesting study using a secondary analysis of a national ambulatory data set looking at patients less than 19 years old evaluated for possible appendicitis. The overall percentage of children receiving CT scans increased, although there were subsets of children that did not. Just who is more likely to get scanned, and whether that scan is really in the best interest of these young patients form the key-take homes from this study. Take a cut at the data and learn more so your patients might get radiated less in the emergency setting. Perhaps the adage that most appendicitis can be diagnosed on the basis of a history, physical, and some baseline lab data should be reemphasized after reading this particular study.