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INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması

Year 2020, Volume: 10 Issue: 4, 15 - 20, 15.12.2020

Abstract

ÖZET
Amaç: Çalışmamızın amacı klinik tanı ile uyumlu acil servise giriş yapan hastaların çektikleri beyin bilgisayarlı
tomografisi sonuçlarını göstermektir.
Gereç ve Yöntemler: Bu çalışma, acil servisten 1 Ocak 2018 ile 30 Haziran 2018 tarihleri arasında bilgisayarlı
tomografi taraması geçirmiş, yaş ve cinsiyet arasında bir ayrım gözetmeyen tüm hastaları içermektedir.
Hastalar acil servise baş ağrısı, baş dönmesi, trafik kazası ve serebrovasküler olay (SVO) gibi şikayetleri ile
kabul edildi. Hastaların yaş, cinsiyetleri ve beyin tomografi bulgularının sayı ve yüzde bulguları analiz edildi.
Bulgular: Toplam altı ayda, 16428 hastanın 3975'inin beyin BT görüntüsü vardı. Çalışmamızda erkek hasta
2018 (% 51), kadın hasta 1957 (% 49) ve yaş ortalaması 45,40 ± 24 idi. Baş ağrısı, baş dönmesi, travma ve
SVO şikayeti ile acilden radyolojiye sevk edilen hastalar dahil edildi. Çalışmada, rapor bulgularının 735'si (%
19) anlamlıydı ve 3240 (% 81) hastada önemsizdi.
Sonuç: Rapor bulgularının büyük ölçüde temiz olması, bu kadar çok BT görüntüsünün neden yapıldığı sorusunu
ortaya koymaktadır.
Anahtar Kelimeler: Beyin Görüntüleme; Bilgisayarlı Tomografi; Acil Servis; Klinik Tanı
ABSTRACT
Objective: The aim of our study is to show the results of brain computed tomography (CT) taken by patients
who entered the emergency department (ED) compatible with clinical diagnosis.
Material and Methods: This study included all patients who underwent computed tomography scans from
the emergency department between January 1, 2018 and June 30, 2018, without any distinction between
age and gender. The patients were admitted to the emergency department with complaints such as headache,
dizziness, trauma (traffic accident) and cerebrovascular accident (SVO). Age, gender, and number and
percentage findings of brain tomography findings were analyzed.
Results: In a total of six months, 3975 of 16428 patients had brain CT images. In our study, the male patient
was found to be 2018 (51 %), the female patient was 1957 (49 %) and the overall age was 45.40±24 years.
Patients referred from emergency to radiology with the complaint of headache, dizziness, trauma and SVO
were included. In the study, 735 (19 %) of the report findings were significant and insignificant in 3240 (81
%) patients.
Conclusion: The fact that the report findings are largely clean suggests the question of why so many CT
images are made.
Keywords: Brain İmaging; Computed Tomography; Emergency; Clinical Diagnosis

References

  • 1. Buzug T.M. Computed Tomography. In: Kramme R., Hoffmann KP., Pozos R.S. (EDS) Springer Handbook of Medical Technology. Springer Handbooks. Springer, Berlin, Heidelberg, 2011.
  • 2. Rebecca SB. Is computed tomography safe? N Engl J Med. 2010;363;1-4.
  • 3. Brenner DJ, Hall EJ. Computed tomography - an increasing source of radiation exposure. N Engl J Med. 2007;357:2277-84.
  • 4. Kadhim-Saleh A, Worrall JC, Taljaard M, Gatien M, Perry JJ. Self-awareness of computed tomography ordering in the emergency department. CJEM. 2018;20(2):275-83.
  • 5. Abujudeh HH, Kaewlai R, McMahon PM, Binder W, Novelline RA, Gazelle GS, et al. Abdominopelvic CT increases diagnostic certainty and guides management decisions: a prospective investigation of 584 patients in a large academic medical center. AJR. 2011;196(2):238-43.
  • 6. Broder J, Fordham LA, Warshauer DM. Increasing utilization of computed tomography in the pediatric emergency department, 2000–2006. Emerg Radiol. 2007;14:227-32.
  • 7. Pines JM, Hollander JE, Isserman JA, Chen EH, Dean AJ, Shofer FS, et al. The association between physician risk tolerance and imaging use in admoninal pain. Am J Emerg. 2009;27:552-7.
  • 8. Burch RC, Loder S, Loder E, Smitherman TA. The prevalence and burden of migraine and severe headache in the united states: updated statistics from government health surveillance studies. Headache. 2015;55:21-34.
  • 9. Chuang PC, Huang YS, Chiang CY, Zhang EW, Cheng FJ. Effecttiveness of peer pressure on computed tomography use for dizziness/vertigo patients. Medicine. 2019;98(11) :e14887.
  • 10. Kontorinis G. The imaging of the dizzy patient: computed tomography versus magnetic resonance imaging. European Radiology. 2018;28:2914-5.
Year 2020, Volume: 10 Issue: 4, 15 - 20, 15.12.2020

Abstract

References

  • 1. Buzug T.M. Computed Tomography. In: Kramme R., Hoffmann KP., Pozos R.S. (EDS) Springer Handbook of Medical Technology. Springer Handbooks. Springer, Berlin, Heidelberg, 2011.
  • 2. Rebecca SB. Is computed tomography safe? N Engl J Med. 2010;363;1-4.
  • 3. Brenner DJ, Hall EJ. Computed tomography - an increasing source of radiation exposure. N Engl J Med. 2007;357:2277-84.
  • 4. Kadhim-Saleh A, Worrall JC, Taljaard M, Gatien M, Perry JJ. Self-awareness of computed tomography ordering in the emergency department. CJEM. 2018;20(2):275-83.
  • 5. Abujudeh HH, Kaewlai R, McMahon PM, Binder W, Novelline RA, Gazelle GS, et al. Abdominopelvic CT increases diagnostic certainty and guides management decisions: a prospective investigation of 584 patients in a large academic medical center. AJR. 2011;196(2):238-43.
  • 6. Broder J, Fordham LA, Warshauer DM. Increasing utilization of computed tomography in the pediatric emergency department, 2000–2006. Emerg Radiol. 2007;14:227-32.
  • 7. Pines JM, Hollander JE, Isserman JA, Chen EH, Dean AJ, Shofer FS, et al. The association between physician risk tolerance and imaging use in admoninal pain. Am J Emerg. 2009;27:552-7.
  • 8. Burch RC, Loder S, Loder E, Smitherman TA. The prevalence and burden of migraine and severe headache in the united states: updated statistics from government health surveillance studies. Headache. 2015;55:21-34.
  • 9. Chuang PC, Huang YS, Chiang CY, Zhang EW, Cheng FJ. Effecttiveness of peer pressure on computed tomography use for dizziness/vertigo patients. Medicine. 2019;98(11) :e14887.
  • 10. Kontorinis G. The imaging of the dizzy patient: computed tomography versus magnetic resonance imaging. European Radiology. 2018;28:2914-5.
There are 10 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Mehmet Cihan Yavaş

Muhammed Alpaslan This is me

Publication Date December 15, 2020
Published in Issue Year 2020 Volume: 10 Issue: 4

Cite

APA Yavaş, M. C., & Alpaslan, M. (2020). INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması. Bozok Tıp Dergisi, 10(4), 15-20.
AMA Yavaş MC, Alpaslan M. INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması. Bozok Tıp Dergisi. December 2020;10(4):15-20.
Chicago Yavaş, Mehmet Cihan, and Muhammed Alpaslan. “INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik Ve Klinik Özelliklerinin Araştırılması”. Bozok Tıp Dergisi 10, no. 4 (December 2020): 15-20.
EndNote Yavaş MC, Alpaslan M (December 1, 2020) INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması. Bozok Tıp Dergisi 10 4 15–20.
IEEE M. C. Yavaş and M. Alpaslan, “INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması”, Bozok Tıp Dergisi, vol. 10, no. 4, pp. 15–20, 2020.
ISNAD Yavaş, Mehmet Cihan - Alpaslan, Muhammed. “INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik Ve Klinik Özelliklerinin Araştırılması”. Bozok Tıp Dergisi 10/4 (December 2020), 15-20.
JAMA Yavaş MC, Alpaslan M. INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması. Bozok Tıp Dergisi. 2020;10:15–20.
MLA Yavaş, Mehmet Cihan and Muhammed Alpaslan. “INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik Ve Klinik Özelliklerinin Araştırılması”. Bozok Tıp Dergisi, vol. 10, no. 4, 2020, pp. 15-20.
Vancouver Yavaş MC, Alpaslan M. INVESTIGATION OF RADIOLOGICAL AND CLINICAL FEATURES OF BRAIN COMPUTED TOMOGRAPHY FINDINGS OF PATIENTS IN THE EMERGENCY DEPARTMENT Acil Servisteki Hastaların Beyin Bilgisayarlı Tomografi Bulgularının Radyolojik ve Klinik Özelliklerinin Araştırılması. Bozok Tıp Dergisi. 2020;10(4):15-20.
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