Burden of alcohol-related injuries on radiology services at a level 1 trauma center

Bahman Sayyar Roudsari, Kevin J. Psoter, Christopher Mack, Monica S. Vavilala, Jeffrey G. Jarvik

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVE. The purpose of our study was to evaluate the burden of alcohol-related injuries on a radiology department at a level 1 trauma center. MATERIALS AND METHODS. We linked the trauma registry (2005-2009) of Harborview Medical Center to billing department data and extracted patient demographic and injury-related characteristics and the radiology services provided. Multivariate negative binomial analysis was used to evaluate the association between blood alcohol concentration (BAC) and CT and MRI utilization rates. RESULTS. A total of 125,776 CT and 4681 MRI examinations were performed on 27,274 patients during the study period. Higher BAC was generally associated with higher utilization rates for all types of CT even after adjusting for potential confounding variables. Compared with patients with a BAC of 0, the greatest increases in utilization were observed in individuals with a BAC of 240 mg/dL or more for head CT (incidence rate ratio [IRR], 1.43; 95% CI, 1.32-1.54), cervical spine (IRR, 1.45; 95% CI, 1.32-1.58), and maxillofacial (IRR, 1.66; 95% CI, 1.42-1.95), with no increase observed for MRI. This association was more prominent in less severely injured patients with utilization rates for head CT (IRR, 1.83; 95% CI, 1.56-2.13), abdomen (IRR, 1.46; 95% CI, 1.32-1.63), and thorax (IRR, 1.57; 95% CI, 1.30-1.89) in individuals with a BAC of 240 mg/dL or more compared with those with a BAC of 0. CONCLUSION. Higher BAC was associated with increased CT utilization for most body region-specific CT scans and was more strongly associated in patients with less severe injuries. Any guideline that could potentially decrease unnecessary imaging for patients with alcohol-involved injuries would represent a cost-saving strategy.

Original languageEnglish (US)
JournalAmerican Journal of Roentgenology
Volume199
Issue number4
DOIs
StatePublished - Oct 1 2012
Externally publishedYes

Fingerprint

Trauma Centers
Radiology
Alcohols
Wounds and Injuries
Incidence
Head
Body Regions
Confounding Factors (Epidemiology)
Blood Alcohol Content
Abdomen
Registries
Spine
Thorax
Demography
Guidelines
Costs and Cost Analysis

Keywords

  • Alcohol-related injury
  • Blood alcohol concentration
  • Resource utilization
  • Trauma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Burden of alcohol-related injuries on radiology services at a level 1 trauma center. / Sayyar Roudsari, Bahman; Psoter, Kevin J.; Mack, Christopher; Vavilala, Monica S.; Jarvik, Jeffrey G.

In: American Journal of Roentgenology, Vol. 199, No. 4, 01.10.2012.

Research output: Contribution to journalArticle

Sayyar Roudsari, Bahman ; Psoter, Kevin J. ; Mack, Christopher ; Vavilala, Monica S. ; Jarvik, Jeffrey G. / Burden of alcohol-related injuries on radiology services at a level 1 trauma center. In: American Journal of Roentgenology. 2012 ; Vol. 199, No. 4.
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abstract = "OBJECTIVE. The purpose of our study was to evaluate the burden of alcohol-related injuries on a radiology department at a level 1 trauma center. MATERIALS AND METHODS. We linked the trauma registry (2005-2009) of Harborview Medical Center to billing department data and extracted patient demographic and injury-related characteristics and the radiology services provided. Multivariate negative binomial analysis was used to evaluate the association between blood alcohol concentration (BAC) and CT and MRI utilization rates. RESULTS. A total of 125,776 CT and 4681 MRI examinations were performed on 27,274 patients during the study period. Higher BAC was generally associated with higher utilization rates for all types of CT even after adjusting for potential confounding variables. Compared with patients with a BAC of 0, the greatest increases in utilization were observed in individuals with a BAC of 240 mg/dL or more for head CT (incidence rate ratio [IRR], 1.43; 95{\%} CI, 1.32-1.54), cervical spine (IRR, 1.45; 95{\%} CI, 1.32-1.58), and maxillofacial (IRR, 1.66; 95{\%} CI, 1.42-1.95), with no increase observed for MRI. This association was more prominent in less severely injured patients with utilization rates for head CT (IRR, 1.83; 95{\%} CI, 1.56-2.13), abdomen (IRR, 1.46; 95{\%} CI, 1.32-1.63), and thorax (IRR, 1.57; 95{\%} CI, 1.30-1.89) in individuals with a BAC of 240 mg/dL or more compared with those with a BAC of 0. CONCLUSION. Higher BAC was associated with increased CT utilization for most body region-specific CT scans and was more strongly associated in patients with less severe injuries. Any guideline that could potentially decrease unnecessary imaging for patients with alcohol-involved injuries would represent a cost-saving strategy.",
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