A Systematic Review Protocol to Determine the Most Effective Strategies to Reduce Computed Tomography Usage in the Emergency Department.

computed tomography ct use emergency department meta-analysis radiography reduction intervention systematic review

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
01 Aug 2020
Historique:
entrez: 5 9 2020
pubmed: 5 9 2020
medline: 5 9 2020
Statut: epublish

Résumé

This study describes the protocol for a systematic review and meta-analysis. The primary objective of the review is to identify experimental studies assessing the effectiveness of interventions that aim to reduce the proportion of computed tomography (CT) in emergency departments (EDs). Data permitting, our secondary objectives will be to assess the impact of reduction in CT utilization on the length of stay, admission to hospital, and uptake/satisfaction with the intervention. When available, balancing measures such as readmission to hospital or ED revisit rates will be included. Pre-defined subgroup analyses include patient populations (adult or pediatric), type of ED, and the nature of the intervention. Through this review, the research team aims to inform knowledge translation initiatives aimed at lowering CT usage in the ED by identifying the most effective interventions to safely improve CT resource stewardship.

Identifiants

pubmed: 32884867
doi: 10.7759/cureus.9509
pmc: PMC7461135
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e9509

Informations de copyright

Copyright © 2020, Elzinga et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Am J Emerg Med. 2018 Feb;36(2):301-309
pubmed: 29100783
Acad Emerg Med. 2018 Jun;25(6):672-683
pubmed: 29265532
Ann Emerg Med. 2013 Nov;62(5):486-494.e3
pubmed: 23683773
J Hosp Med. 2018 Jan;13(1):52-61
pubmed: 29309438
Acad Emerg Med. 2019 May;26(5):479-490
pubmed: 31006937
Pediatrics. 2018 Feb;141(2):
pubmed: 29382686
Chest. 2016 Jul;150(1):35-45
pubmed: 26905364
BMJ. 2016 Oct 12;355:i4919
pubmed: 27733354
AMIA Annu Symp Proc. 2018 Dec 05;2018:897-906
pubmed: 30815132
Med Care Res Rev. 2017 Oct;74(5):507-550
pubmed: 27402662
Cureus. 2017 Oct 9;9(10):e1760
pubmed: 29226050
Lancet. 2001 May 5;357(9266):1391-6
pubmed: 11356436
J Am Coll Radiol. 2009 Dec;6(12):844-50
pubmed: 19945039
Am J Med. 2016 Oct;129(10):1131-5
pubmed: 27421918
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
CMAJ. 2015 Apr 7;187(6):401-408
pubmed: 25733741
Acad Emerg Med. 2018 Jun;25(6):614-626
pubmed: 29315969
West J Emerg Med. 2017 Aug;18(5):835-845
pubmed: 28874935
BMC Med Res Methodol. 2018 Nov 19;18(1):143
pubmed: 30453902
Br J Radiol. 2018 May;91(1085):20170434
pubmed: 29271231
Arch Intern Med. 2011 May 9;171(9):831-7
pubmed: 21555660

Auteurs

Jason L Elzinga (JL)

Emergency Medicine, University of Calgary, Calgary, CAN.

Cody L Dunne (CL)

Emergency Medicine, University of Calgary, Calgary, CAN.

Allen Vorobeichik (A)

Emergency Medicine, University of Calgary, Calgary, CAN.

Diana Keto-Lambert (D)

Pediatrics, University of Alberta Evidence-Based Practice Center, Edmonton, CAN.

Daniel Grigat (D)

Emergency Medicine, Strategic Clinical Network, Alberta Health Services, Calgary, CAN.

Eddy Lang (E)

Emergency Medicine, University of Calgary, Calgary, CAN.

Shawn Dowling (S)

Emergency Medicine, Alberta Health Services, Calgary, CAN.

Classifications MeSH