| Increased use of computed tomography does not harm patients with acute appendicitis. | |
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MedLine Citation:
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PMID: 16676857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The increased use of computed tomography (CT) in patients with appendicitis may cause a delay in surgery and, therefore, higher perforation rates. We examined the use of CT, delay in time to surgery, and perforation rates in appendicitis patients operated on in two periods: Phase 1, 1996 through 1998 and Phase 2, 2001 through 2002. CT was performed in 18 per cent of the Phase 1 group compared with 62 per cent in the Phase 2 group. In the Phase 1 group, patients undergoing CT had a delay to surgery compared with those without CT (18.6 hours vs 7 hours; P < 0.0001). In the Phase 2 group, time to surgery was reduced (median time = 12 hours with CT vs 6 hours without CT; P < 0.001). CT was more accurate in the later group; there were less false-negative and equivocal studies. There was no difference in perforation rates between the Phase 1 and 2 groups. Over time, the increased use, efficiency, and accuracy of CT in patients with acute appendicitis were associated with reduced delays to surgery. The use of CT did not harm patients, but did not translate to better overall outcomes in this group of patients. |
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Authors:
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Tehillah S Menes; Arthur H Aufses; Mary Rojas; Nina A Bickell |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American surgeon Volume: 72 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-05-08 Completed Date: 2006-05-30 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
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Languages: eng Pagination: 326-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Mount Sinai Medical School of Medicine, New York, New York 10029, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Aged Aged, 80 and over Appendectomy* Appendicitis / radiography*, surgery* Child Child, Preschool Cohort Studies Female Humans Male Middle Aged Outcome and Process Assessment (Health Care) Retrospective Studies Time Factors Tomography, X-Ray Computed / trends*, utilization* |
| Grant Support | |
ID/Acronym/Agency:
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R01 B8509698//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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