IF 1.7 4区 医学 Q2 EMERGENCY MEDICINE
Michael Lousick, Serena Edwards, Gerben Keijzers, Richard A F Pellatt
{"title":"Utility of computed tomography brain scans in intubated patients with overdose.","authors":"Michael Lousick, Serena Edwards, Gerben Keijzers, Richard A F Pellatt","doi":"10.1111/1742-6723.14510","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Describe the yield of computed tomography brain (CTB) scans in patients intubated for drug overdose.</p><p><strong>Methods: </strong>Retrospective descriptive study using existing registry data from two Australian EDs between February 2021 and June 2022.</p><p><strong>Results: </strong>Two hundred and six patients were intubated; 159 (77%) received a post-intubation CTB scan. Of these, 38 out of 159 (24%) had a documented indication (i.e. head injury and seizure) for their scans, with a yield of 5.3% (95% confidence interval [CI] = 1.5-17%). Of the 121 out of 159 (76%) patients without an indication, the yield of CTB was 0% (95% CI = 0-3%).</p><p><strong>Conclusions: </strong>Routine imaging of patients intubated for overdose without clinical indication is unjustified.</p>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/1742-6723.14510","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

目的描述因用药过量而插管的患者的脑部计算机断层扫描(CTB)结果:利用澳大利亚两家急诊室在 2021 年 2 月至 2022 年 6 月期间的现有登记数据进行回顾性描述研究:26 名患者接受了插管;159 人(77%)接受了插管后 CTB 扫描。其中,159 人中有 38 人(24%)有扫描的记录指征(即头部损伤和癫痫发作),扫描率为 5.3%(95% 置信区间 [CI] = 1.5-17%)。159名患者中有121名(76%)没有适应症,CTB的收益率为0%(95% CI = 0-3%):结论:在无临床指征的情况下对因用药过量而插管的患者进行常规成像是不合理的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utility of computed tomography brain scans in intubated patients with overdose.

Objective: Describe the yield of computed tomography brain (CTB) scans in patients intubated for drug overdose.

Methods: Retrospective descriptive study using existing registry data from two Australian EDs between February 2021 and June 2022.

Results: Two hundred and six patients were intubated; 159 (77%) received a post-intubation CTB scan. Of these, 38 out of 159 (24%) had a documented indication (i.e. head injury and seizure) for their scans, with a yield of 5.3% (95% confidence interval [CI] = 1.5-17%). Of the 121 out of 159 (76%) patients without an indication, the yield of CTB was 0% (95% CI = 0-3%).

Conclusions: Routine imaging of patients intubated for overdose without clinical indication is unjustified.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信