J Korean Soc Emerg Med.  2016 Aug;27(4):336-344. 10.0000/jksem.2016.27.4.336.

Current State of Abdominal Computed Tomography Performed in Emergency Department of a Tertiary University Hospital and Development of a Preliminary Interpretation Checklist

Affiliations
  • 1Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea. songcap97@hotmail.com
  • 2Medical Science Research Center, Korea University Ansan Hospital, Ansan, Korea.

Abstract

PURPOSE
Abdominal computed tomography (CT) is a widely recognized method to diagnose patients with acute abdominal pain in the emergency departments (EDs). We aimed to investigate the current state and interpretations of abdominal CT performed in the ED of a tertiary university hospital.
METHODS
This was a retrospective study based on an abdominal CT database and medical records of patients over 15 years of age, who had visited our ED between January 1 and December 31, 2013. The data collected included CT types, final interpretations, characteristics of the patients, and location of pain at the time of CT.
RESULTS
A total of 1,978 abdominal CTs were performed among 1,923 patients during the research period. The most frequent organs involved in the major diagnosis were those in the urinary system, followed by the appendix, liver, large intestine, and gallbladder. The most frequently interpreted diagnoses in these organs were in the order of urinary stone, appendicitis, liver cirrhosis, infectious colitis, and acute cholecystitis. The most frequent location of pain was the right lower quadrant (429 cases, 21.7%), and the most frequently performed CT types were contrast-enhanced abdominal and pelvic CT (1,260 cases, 63.7%).
CONCLUSION
Various interpretations were derived based on the abdominal CTs, ranging from critical to mild diseases and from common to rare diseases. Based on this study, we have developed a preliminary interpretation checklist for abdominal CTs.

Keyword

Computed tomography; Emergency service; Hospital; Interpretation

MeSH Terms

Abdominal Pain
Appendicitis
Appendix
Checklist*
Cholecystitis, Acute
Colitis
Diagnosis
Emergencies*
Emergency Service, Hospital*
Gallbladder
Humans
Intestine, Large
Liver
Liver Cirrhosis
Medical Records
Methods
Rare Diseases
Retrospective Studies
Tomography, X-Ray Computed
Urinary Calculi
Full Text Links
  • JKSEM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr