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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Hwang, Soyun Chung, Hyun Jung Park, Joong Wan Lee, Eui Jun Lee, Ha Ni Kim, Jin Hee Jue, Jie Hee Choi, Young Hun Jung, Jae Yun |
| Abstract | Background Abdominal pain, which is a common cause of children presenting to the paediatric emergency department (PED), is often evaluated by ultrasonography (US). However, uncertainty in US reports may necessitate additional imaging. Objective In this study, we evaluated factors contributing to uncertainty in paediatric abdominal US reports in the PED. Materials and methods This retrospective cohort study included children younger than 18 years of age who underwent abdominal US in the PED of the study hospital between January 2017 and December 2019. After exclusion, the researchers manually reviewed and classified all US reports as ‘certain’ or ‘uncertain’. Univariate and multivariate logistic regression analyses were performed to identify the factors contributing to uncertain reports. Results In total, 1006 patients were included in the final analysis., 796 patients were tagged as having certain reports, and 210 as having uncertain reports. Children with uncertain reports had a significantly higher rate of undergoing an additional computed tomography (CT) scan (31.0% vs. 2.5%, p < 0.001) and a longer PED median length of stay (321.0 (Interquartile range (IQR); 211.3-441.5) minutes vs. 284.5 (IQR; 191.8-439.5) minutes, p = 0.042). After logistic regression, US performed by a radiology resident (odds ratio, 5.01; 95% confidence interval, 3.63–7.15) was the most significant factor contributing to uncertainty in paediatric abdominal US reports followed by obesity and age. Conclusion Several factors contribute to uncertainty in paediatric abdominal US reports. Uncertain radiological reports increase the likelihood of additional CT scans. Measures to improve the clarity of radiological reports must be considered to improve the quality of care for children visiting the PED. |
| Related Links | https://bmcemergmed.biomedcentral.com/counter/pdf/10.1186/s12873-023-00892-w.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| DOI | 10.1186/s12873-023-00892-w |
| Journal | BMC Emergency Medicine |
| Issue Number | 1 |
| Volume Number | 23 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2023-10-10 |
| Access Restriction | Open |
| Subject Keyword | Emergency Medicine Medicine Public Health Ultrasonography Emergency department Paediatrics Medicine/Public Health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |
| Journal Impact Factor | 2.3/2023 |
| 5-Year Journal Impact Factor | 2.5/2023 |
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