Head computed tomography utilization and intracranial hemorrhage rates

Jarone Lee, C. Scott Evans, Neil Singh, Jonathan Kirschner, Daniel Runde, David Newman, Dan Wiener, Josh Quaas, Kaushal Shah

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Utilization of computed tomography scans (CTs) has increased dramatically in emergency departments in the USA. This study aimed to retrospectively determine the yield of CTs among all patients that received a CT of the head from 2001 to 2007, which is adjusted for patient volume. For secondary endpoints, we examined the yield of CT of the head for the following hemorrhages: (1) intracerebral, (2) subarachnoid, (3) subdural, and (4) epidural. In 2001, 3.3 head CTs were performed per 100 patients seen. This increased by 60 % to 5.2 per 100 in 2007 (p = 0.005, R 2 = 0.82). This correlated with a nonsignificant decrease in the rate of intracranial hemorrhage found by CT from 3.6 per 100 CTs in 2001 (95 % confidence interval (CI) = 2.7-4.5) to 3.0 per 100 in 2007 (95 % CI = 2.5-3.6). There were no significant differences in "positive" rates for each subgroup of intracranial hemorrhage. Our study found that the utilization of head CTs increased dramatically, but there was a corresponding increase in the number of positive findings so that the overall yield of head CTs from 2001 to 2007 remained relatively constant.

Original languageEnglish (US)
Pages (from-to)219-223
Number of pages5
JournalEmergency Radiology
Volume20
Issue number3
DOIs
StatePublished - Jun 1 2013

Keywords

  • Computed tomography
  • Emergency department
  • Intracranial hemorrhage
  • Resource utilization

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging

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    Lee, J., Evans, C. S., Singh, N., Kirschner, J., Runde, D., Newman, D., Wiener, D., Quaas, J., & Shah, K. (2013). Head computed tomography utilization and intracranial hemorrhage rates. Emergency Radiology, 20(3), 219-223. https://doi.org/10.1007/s10140-012-1098-0