Suspected appendicitis pathway continues to lower CT rates in children two years after implementation

We implemented a protocol to evaluate pediatric patients with suspected appendicitis using ultrasound as the initial imaging modality. CT utilization rates and diagnostic accuracy were evaluated two years after pathway implementation. This was a retrospective observational study of patients

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Bibliographische Detailangaben
Veröffentlicht in:	The American journal of surgery 2019-10, Vol.218 (4), p.716-721
Hauptverfasser:	Gurien, Lori A., Smith, Samuel D., Dassinger, Melvin S., Burford, Jeffrey M., Tepas, Joseph J., Crandall, Marie
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Accuracy Adolescent Age Appendectomy Appendicitis Appendicitis - diagnostic imaging Appendicitis - surgery Cancer Child Child, Preschool Children & youth Clinical Protocols Computed tomography Cost control Critical Pathways Departments Diagnostic systems Emergency medical care Female Funding Guideline Adherence Hospitals Humans Male Medical imaging Negative appendectomy rates Pathway Patients Pediatric Pediatrics Procedures and Techniques Utilization Retrospective Studies Sensitivity and Specificity Studies Tomography, X-Ray Computed - statistics & numerical data Trends Ultrasonic imaging Ultrasonography Ultrasound Utilization
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Beschreibung
Zusammenfassung:	We implemented a protocol to evaluate pediatric patients with suspected appendicitis using ultrasound as the initial imaging modality. CT utilization rates and diagnostic accuracy were evaluated two years after pathway implementation. This was a retrospective observational study of patients
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2019.07.024