Use of abdominopelvic computed tomography in emergency departments and rates of urgent diagnoses in Crohn's disease.
Use of abdominopelvic computed tomography in emergency departments and rates of urgent diagnoses in Crohn's disease.
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DOI：
10.1016/j.cgh.2011.09.005
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发表时间：
2012-01
影响因子：
12.6
通讯作者：
Lewis, James D.
中科院分区：
文献类型：
--
作者：
Kerner, Caroline;Carey, Kathleen;Mills, Angela M.;Yang, Wei;Synnestvedt, Marie B.;Hilton, Susan;Weiner, Mark G.;Lewis, James D.
In the United States, the use of abdominopelvic computed tomography (APCT) by emergency departments for patients with abdominal pain has increased, despite stable admission rates and diagnosis requiring urgent intervention. We proposed that trends would be similar for patients with Crohn’s disease (CD). We conducted a retrospective study of data from 648 adults with CD who presented at 2 emergency departments (2001–2009; 1572 visits). Trends in APCT use were assessed with Spearman’s correlation coefficient. We compared patient characteristics and APCT findings during 2001–2003 and 2007–2009. APCT use increased from 2001 (used for 47% of encounters) to 2009 (used for 78% of encounters; P=.005), whereas admission rates were relatively stable, at 68% in 2001 and 71% in 2009 (P=.06). The overall proportion of APCTs with findings of intestinal perforation, obstruction, or abscess was 29.0%; 34.9% of APCTs were associated with urgent diagnoses, including those unrelated to CD. Between 2001–2003 and 2007–2009, the proportions of APCTs that detected intestinal perforation, obstruction, or abscess were similar (30% vs 29%, P=.92), as were the proportions used detecting any diagnosis requiring urgent intervention, including those unrelated to CD (36% vs 34%, P=.91). Despite the increased use of APCT by emergency departments for patients with CD, there were no significant change in admission rates between the periods of 2001–2003 and 2007–2009. The proportion of APCTs that detected intestinal perforation, obstruction, abscess, or other urgent conditions not related to CD remained high.
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影响因子：
--
作者：
Berrington de González A;Mahesh M;Kim KP;Bhargavan M;Lewis R;Mettler F;Land C
通讯作者：
Land C
DOI：
10.1056/nejmoa0901249
发表时间：
2009-08-27
期刊：
The New England journal of medicine
影响因子：
--
作者：
Fazel R;Krumholz HM;Wang Y;Ross JS;Chen J;Ting HH;Shah ND;Nasir K;Einstein AJ;Nallamothu BK
通讯作者：
Nallamothu BK
影响因子：
19.7
作者：
Larson, David B.;Johnson, Lara W.;Forman, Howard P.
通讯作者：
Forman, Howard P.
影响因子：
9.8
作者：
Ananthakrishnan, Ashwin N.;McGinley, Emily L.;Binion, David G.
通讯作者：
Binion, David G.
影响因子：
7.6
作者：
Levi, Z.;Fraser, A.;Fraser, G.
通讯作者：
Fraser, G.