Effect of an image-sharing network on CT utilization for transferred trauma patients

A 5-year experience at a level I trauma center

Kevin J. Psoter, Bahman Sayyar Roudsari, Matthew Vaughn, Gabriel C. Fine, Jeffrey G. Jarvik, Martin L. Gunn

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: The aim of this study was to evaluate the influence of an image-sharing network established between referring hospitals and a level I trauma center on CT utilization at the trauma center. Methods: This retrospective study was approved by the local institutional review board. The requirement for informed consent was waived. Harborview Medical Center's trauma registry was linked to billing department data, and detailed information on all resources utilized during each patient's hospitalization was obtained. Negative binomial regression was used to evaluate body region-specific CT utilization between direct-admit and transfer patients after adjustment for potential confounding variables. Special attention was paid to 2005 as the year internet-based image sharing between Harborview Medical Center and referring hospitals was established. Results: A total of 81,159 trauma patients were admitted to Harborview Medical Center (44% transfers) during the study period. The utilization of head CT slightly increased from 1996 to 2005, with no significant difference between direct-admit and transfer patients. Between 2005 and 2010, utilization remained relatively unchanged; however, significantly higher utilization rates were observed for direct-admit patients. A relatively similar pattern was observed for pelvic CT; however, between 2005 and 2010, CT use was greater for direct-admit compared with transfer patients. Abdominal and thoracic CT was relatively unchanged between 2005 and 2010. However, both studies had significantly higher utilization rates for direct-admit patients. Conclusions: The utilization rates of CT of different body regions have been higher for direct-admit trauma patients compared with transfer patients since 2005; however, decreasing utilization trends have been observed in recent years.

Original languageEnglish (US)
Pages (from-to)616-622
Number of pages7
JournalJournal of the American College of Radiology
Volume11
Issue number6
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Trauma Centers
Patient Transfer
Wounds and Injuries
Body Regions
Confounding Factors (Epidemiology)
Research Ethics Committees
Informed Consent
Internet
Registries
Hospitalization
Thorax
Retrospective Studies
Head

Keywords

  • CT
  • image sharing
  • imaging
  • information systems
  • patient transfers
  • trauma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Effect of an image-sharing network on CT utilization for transferred trauma patients : A 5-year experience at a level I trauma center. / Psoter, Kevin J.; Sayyar Roudsari, Bahman; Vaughn, Matthew; Fine, Gabriel C.; Jarvik, Jeffrey G.; Gunn, Martin L.

In: Journal of the American College of Radiology, Vol. 11, No. 6, 01.01.2014, p. 616-622.

Research output: Contribution to journalArticle

Psoter, Kevin J. ; Sayyar Roudsari, Bahman ; Vaughn, Matthew ; Fine, Gabriel C. ; Jarvik, Jeffrey G. ; Gunn, Martin L. / Effect of an image-sharing network on CT utilization for transferred trauma patients : A 5-year experience at a level I trauma center. In: Journal of the American College of Radiology. 2014 ; Vol. 11, No. 6. pp. 616-622.
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