Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorJackson, Kirstyen
dc.contributor.authorTaylor, David McDen
dc.contributor.authorJudkins, Simonen
dc.identifier.citationEmergency Medicine Journal : Emj 2010; 28(9): 745-9en
dc.description.abstractTo determine the prevalence and nature of new clinically significant abdominal x-ray (AXR) findings and the proportion of patients receiving additional imaging in the emergency department (ED).This was a retrospective audit of consecutive adult patients, who presented to a tertiary referral ED (annual census 70,000) between September and December 2008. Data were extracted from radiologist reports and the medical records of patients with new significant AXR findings. The electronic radiology record was further interrogated to determine which patients received additional imaging and whether this correlated with the original AXR findings.Of 997 cases that met the inclusion criteria, 121 (12.1%, 95% CI 10.2 to 14.4) and 43 (4.3%, 95% CI 3.2 to 5.8) had new clinically significant and insignificant AXR findings, respectively. Among the significant findings, the predominant diagnoses were bowel obstruction (72.7%), renal calculi (14.0%) and sigmoid volvulus (5.0%). Patient signs and symptoms were poorly associated with significant AXR findings. In all, 334 (33.5%, 95% CI 30.6 to 36.5) cases had additional imaging after the AXR. However, more patients with clinically significant AXR findings went on to have additional imaging (difference in proportions 23.0%, 95% CI 13.2 to 32.9, p<0.001).The yield for clinically useful information from the AXR is low and this investigation may be overused. Positive findings are associated mostly with bowel obstruction. As the proportion of patients ordered additional imaging was considerable, the utility of the preliminary AXR is questionable, especially in cases where the diagnosis is clear. Guidelines for AXR imaging are recommended to assist clinicians with investigation ordering.en
dc.subject.otherEmergency Service, Hospital.statistics & numerical dataen
dc.subject.otherMedical Auditen
dc.subject.otherRadiography, Abdominal.standardsen
dc.subject.otherRetrospective Studiesen
dc.titleEmergency department abdominal x-rays have a poor diagnostic yield and their usefulness is questionable.en
dc.typeJournal Articleen
dc.identifier.journaltitleEmergency medicine journal : EMJen
dc.identifier.affiliationEmergency Department, Austin Health, Heidelberg, Victoria, Australia 3084.en
dc.type.austinJournal Articleen
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

checked on Feb 5, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.