Who Contributes to the Ordering of CT Scans in Emergency Department Patients?

NCT02040896 | Completed

• 1 other identifier: Pro00047697
• Study Type: observational
• Target: 1,500
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objectives are:

1. 1.To investigate which healthcare workers and other individuals contribute to the decision to order computed tomography (CT) scans for emergency department (ED) patients.
2. 2.To investigate the specific reasons healthcare workers and other individuals order or request CT scans for ED patients.
3. 3.To determine the frequency of clinically important actions following CT scan results.

Conditions

Emergency

Keywords

computed tomography; emergency; CT scan; ordering behavior; diagnosis; radiation

Outcome Measures

Primary Outcomes (1)

• CT scans utilization

  Results will be categorized by body region of CT and patient age. For each CT region and age category, the percentage of CT scans requested by each demographic group (e.g., patient, emergency physician, etc.), will be reported, with 95% confidence intervals. CTs not requested by emergency physicians, the percentage of each type of scan requested by each demographic group will be reported, with 95% confidence intervals.

  January 2014 - January 2015

Secondary Outcomes (1)

• Abnormal vs. normal CT scans

  January 2014 - January 2015

Study Arms (1)

Group 1

All consecutive emergency department patients undergoing CT during study hours will be prospectively enrolled, except for those meeting pre-specified exclusion criteria.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients from age 0 to \<17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit

You may qualify if:

• \- Patients from age 0 to \<17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit

You may not qualify if:

• Patients older than 17, yet younger then 18.
• Patients who are unable to consent and who do not have a legally authorized representative.

Sponsors & Collaborators

• Duke University: lead

Study Sites (1)

Duke University Hospital

Durham, North Carolina, 27710, United States

Location

MeSH Terms

Conditions

Emergencies; Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Joshua S Broder, MD

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 17, 2014
• First Posted: January 20, 2014
• Study Start: January 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: January 1, 2015
• Last Updated: March 27, 2020

Record last verified: 2020-01

Locations

US (1)