The Impact of an Emergency Department Upgrade to Level I Trauma Status on the Timeliness of Nontrauma Computed Tomography Scans.
The Impact of an Emergency Department Upgrade to Level I Trauma Status on the Timeliness of Nontrauma Computed Tomography Scans.
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DOI：
10.1016/j.jemermed.2020.04.057
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发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Dingeldein L
中科院分区：
文献类型：
--
作者：
Ukwuoma OI;Dingeldein M;Sheele JM;Rotta AT;Apperson-Hansen C;Dingeldein L
Resources such as computed tomography (CT) scanners are sometimes shared when separate adult and pediatric emergency departments (EDs) exist in proximity. To assess the impact of American College of Surgeons Level I trauma verification of an adult ED on the timeliness of non-trauma CT scans in a pediatric and adult ED that share a CT scanner. ED patient records were retrospectively reviewed to determine the time from order to completion of non-trauma CT scans. We compared the timeliness of CT scan completion between the year leading up to the adult ED being verified as a Level I trauma center (2015), and the two subsequent years (2016–2017). The median time for non-trauma CT completion in the adult ED prior to Level I verification was 39 minutes, compared to 50 minutes and 49 minutes for the subsequent two years (p<0.001). Similarly, the median time for completion of non-trauma CT scans in the pediatric ED increased from 33 minutes, to 41 minutes and 39 minutes. (p<0.001). The proportion of patients who received CT scans within 30 minutes from order decreased after adult ED trauma upgrade, from 40% in 2015 to 30% and 32% (p<0.001) in the two subsequent years. The pediatric ED showed similar results with 48% of patients receiving CT scans within 30 minutes in 2015, compared to 34% in 2016 and 35% in 2017 (p<0.001). Level I trauma verification of the adult ED adversely affected the timeliness of non-trauma CT scans in the EDs.
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影响因子：
2.6
作者：
Cournane, S.;Conway, R.;Silke, B.
通讯作者：
Silke, B.
影响因子：
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作者：
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Bar-Or, David
DOI：
10.5811/westjem.2016.12.32457
发表时间：
2017-04
期刊：
The western journal of emergency medicine
影响因子：
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作者：
White BA;Yun BJ;Lev MH;Raja AS
通讯作者：
Raja AS
影响因子：
4.4
作者：
Kocher, Keith E.;Meurer, William J.;Nallamothu, Brahmajee K.
通讯作者：
Nallamothu, Brahmajee K.
DOI：
10.1097/01.ta.0000061107.55798.31
发表时间：
2003-06-01
影响因子：
--
作者：
Piontek, FA;Coscia, R;Zarling, EJ
通讯作者：
Zarling, EJ