NDLI: The utility of the abdominal series in the emergency setting: a retrospective review

Content Provider	Springer Nature : BioMed Central
Author	Hogan, Sarah Ward, Joshua Sala, Eric
Abstract	Purpose The abdominal series (AXR) remains a frequently ordered test in the emergency department (ED), despite existing literature questioning its utility. The aim of this study was to characterize the use of the AXR in the ED by quantifying how often it is ordered and the frequency of subsequent imaging. Additionally, a time estimate in ED associated with the AXR was quantified. We hypothesized that there would be a low clinical utility of the AXR, and long associated time period spent in the ED. Methods A retrospective audit of AXRs performed in the ED from January to December 2019 was performed. The local picture archiving and communication system (PACS) and electronic medical record were used to collect the variables. Results Of 701 AXRs, 438 (62.4%) were reported normal, and 263 (37.6%) were abnormal. A Chi Squared test showed that the two variables (abdominal series result and follow up imaging completion) were significantly related, with p < 0.001. However, the effect size was small (Nagelkerke R square = 0.022). The average time spent in the ED for these patients was 7.27 h, and the average time between the AXR being ordered and interpreted was 1.31 h. Conclusion The majority of AXRs were reported as normal. Our results showed that AXR had a statistically significant, but low clinically significant predictive ability on subsequent imaging ordering. This supports our hypothesis that the AXR is of low clinical utility with respect to the rate of ordering follow up imaging. The AXR also translated to a quantifiable time interval during the patient’s stay in ED. Minimizing overuse of the AXR may result in a decrease in patient duration in the ED.
Related Links	https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-023-00580-3.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	18651380
DOI	10.1186/s12245-023-00580-3
Journal	International Journal of Emergency Medicine
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2024-01-04
Access Restriction	Open
Subject Keyword	Emergency Medicine Internal Medicine Cardiology Angiology Pediatrics Abdominal radiology Emergency radiology Resource utilization
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Emergency airway management in resource limited setting

Abdominal emergencies in the geriatric patient

Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review

Ruptured abdominal aortic aneurysm discovered by pocket-sized ultrasound in a low resource setting: a case report

Abdominal imaging utilization in the emergency department: trends over two decades

Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice?

Patients’ pathways to the emergency department: a scoping review

Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma

What's in a name? Upper extremity fracture eponyms (Part 1)

The utility of the abdominal series in the emergency setting: a retrospective review

Similar Documents

Emergency airway management in resource limited setting

Abdominal emergencies in the geriatric patient

Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review

Ruptured abdominal aortic aneurysm discovered by pocket-sized ultrasound in a low resource setting: a case report

Abdominal imaging utilization in the emergency department: trends over two decades

Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice?

Patients’ pathways to the emergency department: a scoping review

Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma

What's in a name? Upper extremity fracture eponyms (Part 1)

The utility of the abdominal series in the emergency setting: a retrospective review