Who Contributes to the Ordering of CT Scans in Emergency Department Patients?

Completed

• Conditions: Emergency

• Registration Number: NCT02040896
• Lead Sponsor: Duke University

Brief Summary

The primary objectives are:

1. To investigate which healthcare workers and other individuals contribute to the decision to order computed tomography (CT) scans for emergency department (ED) patients.

2. To investigate the specific reasons healthcare workers and other individuals order or request CT scans for ED patients.

3. To determine the frequency of clinically important actions following CT scan results.

Once the drivers of ED CT utilization are identified, interventions including education, incentives for compliance with evidence-based best practices, and interventions for noncompliance could be targeted appropriately.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-01
• Study First Submitted: 2014-01-17
• Study First Submitted QC: 2014-01-17
• Study First Posted: 2014-01-20
• Primary Completion: 2015-01
• Study Completion: 2015-01
• Status Verified: 2020-01
• Last Update Submitted: 2020-03-26
• Last Update Posted: 2020-03-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1500

Inclusion Criteria

• Patients from age 0 to <17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit

Read More

Exclusion Criteria

• Patients older than 17, yet younger then 18.
• Patients who are unable to consent and who do not have a legally authorized representative.

Read More

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
CT scans utilization	January 2014 - January 2015	Results will be categorized by body region of CT and patient age. For each CT region and age category, the percentage of CT scans requested by each demographic group (e.g., patient, emergency physician, etc.), will be reported, with 95% confidence intervals.; CTs not requested by emergency physicians, the percentage of each type of scan requested by each demographic group will be reported, with 95% confidence intervals.

Secondary Outcome Measures

Name	Time	Method
Abnormal vs. normal CT scans	January 2014 - January 2015	The frequency of abnormal CT results and clinical interventions will be calculated, for CTs requested by emergency physicians and for those not requested by emergency physicians (this includes all other parties).

Trial Locations

Locations (1)

Duke University Hospital; 🇺🇸 Durham, North Carolina, United States