Nicholas Arnold GradDip, Kathryn Gough BMSc, Anthony Patsalou MD, Brendan Carrigan MBBS, William MacAskill PhD
{"title":"现场计算机断层扫描重要吗？农村医院脑卒中患者门到扫描时间的横断面研究。","authors":"Nicholas Arnold GradDip, Kathryn Gough BMSc, Anthony Patsalou MD, Brendan Carrigan MBBS, William MacAskill PhD","doi":"10.1111/ajr.13140","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>Many rural Australian hospitals lack on-site computed tomography (CT). These hospitals often refer patients to local off-site private radiology clinics or to central hospitals, challenging the achievement of time-sensitive scans. For stroke patients, timely access to CT affects treatment options. This study questions whether on-site CT matters in rural hospitals by investigating stroke patients’ door-to-scan-time (DTST) and CT scan sequence referrals.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>A retrospective chart audit was completed across four rural hospitals; two with on-site CT and two without. Adult emergency stroke presentations were randomly sampled. Comparisons between on-site and off-site CT hospitals were made for DTST and CT sequence referrals using Mann–Whitney U-tests and Fisher's exact tests.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 120 charts were audited (on-site CT, <i>n</i> = 60; off-site CT, <i>n</i> = 60). DTST was longer for off-site vs. on-site CT hospitals (median = 4.30 h vs. median = 0.70 h; <i>U</i> = 338, <i>p</i> < 0.001) regardless of whether presentations occurred in business hours or out of hours (<i>p</i> < 0.001). Off-site CT hospitals ordered less CT angiography or perfusion scanning (32% vs. 85%, <i>p</i> < 0.001).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Off-site CT hospital patients had longer DTST and received less angiography or perfusion scanning. These findings suggest that on-site CT matters to rural stroke patients by improving equitable access to CT and appropriate scan referrals.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 4","pages":"834-839"},"PeriodicalIF":1.9000,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13140","citationCount":"0","resultStr":"{\"title\":\"Does on-site computed tomography matter? A cross-sectional study of stroke patients’ door-to-scan-time in rural hospitals\",\"authors\":\"Nicholas Arnold GradDip, Kathryn Gough BMSc, Anthony Patsalou MD, Brendan Carrigan MBBS, William MacAskill PhD\",\"doi\":\"10.1111/ajr.13140\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>Many rural Australian hospitals lack on-site computed tomography (CT). These hospitals often refer patients to local off-site private radiology clinics or to central hospitals, challenging the achievement of time-sensitive scans. For stroke patients, timely access to CT affects treatment options. This study questions whether on-site CT matters in rural hospitals by investigating stroke patients’ door-to-scan-time (DTST) and CT scan sequence referrals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>A retrospective chart audit was completed across four rural hospitals; two with on-site CT and two without. Adult emergency stroke presentations were randomly sampled. Comparisons between on-site and off-site CT hospitals were made for DTST and CT sequence referrals using Mann–Whitney U-tests and Fisher's exact tests.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 120 charts were audited (on-site CT, <i>n</i> = 60; off-site CT, <i>n</i> = 60). DTST was longer for off-site vs. on-site CT hospitals (median = 4.30 h vs. median = 0.70 h; <i>U</i> = 338, <i>p</i> < 0.001) regardless of whether presentations occurred in business hours or out of hours (<i>p</i> < 0.001). Off-site CT hospitals ordered less CT angiography or perfusion scanning (32% vs. 85%, <i>p</i> < 0.001).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Off-site CT hospital patients had longer DTST and received less angiography or perfusion scanning. These findings suggest that on-site CT matters to rural stroke patients by improving equitable access to CT and appropriate scan referrals.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55421,\"journal\":{\"name\":\"Australian Journal of Rural Health\",\"volume\":\"32 4\",\"pages\":\"834-839\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-05-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13140\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian Journal of Rural Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ajr.13140\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Journal of Rural Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ajr.13140","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Does on-site computed tomography matter? A cross-sectional study of stroke patients’ door-to-scan-time in rural hospitals
Purpose
Many rural Australian hospitals lack on-site computed tomography (CT). These hospitals often refer patients to local off-site private radiology clinics or to central hospitals, challenging the achievement of time-sensitive scans. For stroke patients, timely access to CT affects treatment options. This study questions whether on-site CT matters in rural hospitals by investigating stroke patients’ door-to-scan-time (DTST) and CT scan sequence referrals.
Method
A retrospective chart audit was completed across four rural hospitals; two with on-site CT and two without. Adult emergency stroke presentations were randomly sampled. Comparisons between on-site and off-site CT hospitals were made for DTST and CT sequence referrals using Mann–Whitney U-tests and Fisher's exact tests.
Results
A total of 120 charts were audited (on-site CT, n = 60; off-site CT, n = 60). DTST was longer for off-site vs. on-site CT hospitals (median = 4.30 h vs. median = 0.70 h; U = 338, p < 0.001) regardless of whether presentations occurred in business hours or out of hours (p < 0.001). Off-site CT hospitals ordered less CT angiography or perfusion scanning (32% vs. 85%, p < 0.001).
Conclusions
Off-site CT hospital patients had longer DTST and received less angiography or perfusion scanning. These findings suggest that on-site CT matters to rural stroke patients by improving equitable access to CT and appropriate scan referrals.
期刊介绍：
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
