Educational Module Improves Emergency Department Evaluation for Suspected Constipation

Jacob Kurowski, Sunpreet Kaur, Yiannis Katsogridakis, Barry K. Wershil, Lee M. Bass

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives To determine abdominal radiograph use and frequency of digital rectal examinations in children presenting to the emergency department (ED) with abdominal pain and suspected constipation and to determine the impact of an educational module on their use. Study design Retrospective chart review of patients evaluated at a pediatric ED because of the complaint of abdominal pain who had the discharge diagnosis of constipation over two 2-month periods, one before and one after an educational module. Results Comparing pre- and posteducational module periods, there was a significant decrease in abdominal radiograph utilization (69.5% vs 26.4%, respectively, P ≤.001) and significant increase in performance of digital rectal examination (22.9% vs 47.3%, respectively, P ≤.001). We demonstrated a 33.6% reduction in abdominal radiograph in children who had a digital rectal examination as part of their examination. Overall, we demonstrated a 43.1% decrease in patients receiving an abdominal radiograph. When time and costs of an abdominal radiograph are considered, this results in significant cost savings. Conclusions An educational module reviewing the established criteria for the diagnosis of constipation and presented to ED providers results in increased use of digital rectal examination and decreased use of abdominal radiograph in patients evaluated for abdominal pain and ultimately diagnosed with constipation. The change also was associated with reduction in cost and time and radiation exposure in the ED for these patients.

Original languageEnglish (US)
Pages (from-to)706-710.e1
JournalJournal of Pediatrics
Volume167
Issue number3
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Digital Rectal Examination
Constipation
Hospital Emergency Service
Abdominal Pain
Costs and Cost Analysis
Cost Savings
Retrospective Studies
Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Educational Module Improves Emergency Department Evaluation for Suspected Constipation. / Kurowski, Jacob; Kaur, Sunpreet; Katsogridakis, Yiannis; Wershil, Barry K.; Bass, Lee M.

In: Journal of Pediatrics, Vol. 167, No. 3, 01.01.2015, p. 706-710.e1.

Research output: Contribution to journalArticle

Kurowski, Jacob ; Kaur, Sunpreet ; Katsogridakis, Yiannis ; Wershil, Barry K. ; Bass, Lee M. / Educational Module Improves Emergency Department Evaluation for Suspected Constipation. In: Journal of Pediatrics. 2015 ; Vol. 167, No. 3. pp. 706-710.e1.
@article{a1c467a0c7684bf0a97e7a3bf11482a0,
title = "Educational Module Improves Emergency Department Evaluation for Suspected Constipation",
abstract = "Objectives To determine abdominal radiograph use and frequency of digital rectal examinations in children presenting to the emergency department (ED) with abdominal pain and suspected constipation and to determine the impact of an educational module on their use. Study design Retrospective chart review of patients evaluated at a pediatric ED because of the complaint of abdominal pain who had the discharge diagnosis of constipation over two 2-month periods, one before and one after an educational module. Results Comparing pre- and posteducational module periods, there was a significant decrease in abdominal radiograph utilization (69.5{\%} vs 26.4{\%}, respectively, P ≤.001) and significant increase in performance of digital rectal examination (22.9{\%} vs 47.3{\%}, respectively, P ≤.001). We demonstrated a 33.6{\%} reduction in abdominal radiograph in children who had a digital rectal examination as part of their examination. Overall, we demonstrated a 43.1{\%} decrease in patients receiving an abdominal radiograph. When time and costs of an abdominal radiograph are considered, this results in significant cost savings. Conclusions An educational module reviewing the established criteria for the diagnosis of constipation and presented to ED providers results in increased use of digital rectal examination and decreased use of abdominal radiograph in patients evaluated for abdominal pain and ultimately diagnosed with constipation. The change also was associated with reduction in cost and time and radiation exposure in the ED for these patients.",
author = "Jacob Kurowski and Sunpreet Kaur and Yiannis Katsogridakis and Wershil, {Barry K.} and Bass, {Lee M.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.jpeds.2015.06.009",
language = "English (US)",
volume = "167",
pages = "706--710.e1",
journal = "Journal of Pediatrics",
issn = "0022-3476",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Educational Module Improves Emergency Department Evaluation for Suspected Constipation

AU - Kurowski, Jacob

AU - Kaur, Sunpreet

AU - Katsogridakis, Yiannis

AU - Wershil, Barry K.

AU - Bass, Lee M.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Objectives To determine abdominal radiograph use and frequency of digital rectal examinations in children presenting to the emergency department (ED) with abdominal pain and suspected constipation and to determine the impact of an educational module on their use. Study design Retrospective chart review of patients evaluated at a pediatric ED because of the complaint of abdominal pain who had the discharge diagnosis of constipation over two 2-month periods, one before and one after an educational module. Results Comparing pre- and posteducational module periods, there was a significant decrease in abdominal radiograph utilization (69.5% vs 26.4%, respectively, P ≤.001) and significant increase in performance of digital rectal examination (22.9% vs 47.3%, respectively, P ≤.001). We demonstrated a 33.6% reduction in abdominal radiograph in children who had a digital rectal examination as part of their examination. Overall, we demonstrated a 43.1% decrease in patients receiving an abdominal radiograph. When time and costs of an abdominal radiograph are considered, this results in significant cost savings. Conclusions An educational module reviewing the established criteria for the diagnosis of constipation and presented to ED providers results in increased use of digital rectal examination and decreased use of abdominal radiograph in patients evaluated for abdominal pain and ultimately diagnosed with constipation. The change also was associated with reduction in cost and time and radiation exposure in the ED for these patients.

AB - Objectives To determine abdominal radiograph use and frequency of digital rectal examinations in children presenting to the emergency department (ED) with abdominal pain and suspected constipation and to determine the impact of an educational module on their use. Study design Retrospective chart review of patients evaluated at a pediatric ED because of the complaint of abdominal pain who had the discharge diagnosis of constipation over two 2-month periods, one before and one after an educational module. Results Comparing pre- and posteducational module periods, there was a significant decrease in abdominal radiograph utilization (69.5% vs 26.4%, respectively, P ≤.001) and significant increase in performance of digital rectal examination (22.9% vs 47.3%, respectively, P ≤.001). We demonstrated a 33.6% reduction in abdominal radiograph in children who had a digital rectal examination as part of their examination. Overall, we demonstrated a 43.1% decrease in patients receiving an abdominal radiograph. When time and costs of an abdominal radiograph are considered, this results in significant cost savings. Conclusions An educational module reviewing the established criteria for the diagnosis of constipation and presented to ED providers results in increased use of digital rectal examination and decreased use of abdominal radiograph in patients evaluated for abdominal pain and ultimately diagnosed with constipation. The change also was associated with reduction in cost and time and radiation exposure in the ED for these patients.

UR - http://www.scopus.com/inward/record.url?scp=84940449869&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940449869&partnerID=8YFLogxK

U2 - 10.1016/j.jpeds.2015.06.009

DO - 10.1016/j.jpeds.2015.06.009

M3 - Article

VL - 167

SP - 706-710.e1

JO - Journal of Pediatrics

JF - Journal of Pediatrics

SN - 0022-3476

IS - 3

ER -