Araştırma Makalesi

Changes in imaging patterns of geriatric trauma patients in emergency department

Cilt: 47 Sayı: 2 30 Haziran 2022
Eldar Guliyev , Erhan Akpınar , Emre Ünal *, Mehmet Mahir Kunt , Ruhi Onur , Bulent Erbil
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Cukurova Medical Journal Kapak Cukurova Medical Journal
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Changes in imaging patterns of geriatric trauma patients in emergency department

Abstract

Purpose: We aimed to analyze imaging tests and findings in a series of geriatric trauma patients admitted to emergency department (ED) at different time intervals. Materials and Methods: Two groups of 300 randomly selected patients over consecutive five-year periods were compared. Patients admitted in the first and second five-year periods were recorded as group I and II, respectively. A comprehensive comparison was carried out between two groups regarding the age, sex, reason for admission, comorbidities, Revised Trauma Score (RTS), Glasgow Coma Scale (GCS), radiological findings and number of radiological examinations, dose length product (DLP) values and duration of hospital stay. Results: The number of patients who underwent X-ray and CT examinations and total number of X-rays and CT scans in group II was higher than those in group I. CT scans were negative for a trauma-related finding in 49% of patients in group I and 55% of patients in group II. In patients with radiological evidence of trauma, no significant difference was observed between two groups regarding the major trauma related change. However, the trauma-related minor findings on CT were more common in group II than in group I. Conclusion: Despite the increasing use of imaging tests, there was no difference in imaging findings suggesting major trauma or requiring a longer inpatient stay. This may be related to the increasing use of radiological examinations over the years as a result of the orientation towards defensive medicine.

Keywords

Emergency Service , Hospital , computed tomography , trauma , geriatric , defensive practice , imaging

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Eldar Guliyev Bu kişi benim
0000-0001-8320-3708
Türkiye

Erhan Akpınar Bu kişi benim
0000-0001-8245-4804
Türkiye

Yayımlanma Tarihi

30 Haziran 2022

Gönderilme Tarihi

28 Kasım 2021

Kabul Tarihi

18 Nisan 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 47 Sayı: 2

IZ

https://izlik.org/JA79WG94ZL

Kaynak Göster

RIS / Bibtex
MLA
Guliyev, Eldar, vd. “Changes in imaging patterns of geriatric trauma patients in emergency department”. Cukurova Medical Journal, c. 47, sy 2, Haziran 2022, ss. 682-8, https://izlik.org/JA79WG94ZL.
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