Turkistani Maryam H, Amer Roaa R
Emergency Department, King Abdulaziz Medical City, Riyadh, SAU.
Cureus. 2023 Jun 30;15(6):e41234. doi: 10.7759/cureus.41234. eCollection 2023 Jun.
The use of radiological images is widespread in the emergency department (ED) as physicians commonly rely on them during initial evaluations to confirm diagnoses, contributing to prolonged waiting times. This study aimed to determine the relationship between commonly gathered triage data and the need for radiological imaging. Data were collected from electronic charts that contained routinely collected hospital data at the time of triage in the King Abdulaziz Medical City (KAMC) in Riyadh ED. The binary logistic regression results demonstrated a statistically significant relationship between age and radiological imaging ordered in the ED. Each one-unit increase in age corresponded to a 0.983-fold increase in the likelihood of ordering radiological imaging (odds ratio: 0.983, 95% confidence interval: 0.972-0.995, p = 0.004). In contrast, hypertension, diabetes, and heart failure were independent predictors of the need for radiological imaging in the ED (p >0.05). Patient data that are immediately available during ED triage can be used to predict the need for radiological imaging during ED visits. Such models can identify patients who may require radiological imaging during ED visits and expedite patient disposition.
放射影像在急诊科的应用非常广泛,因为医生在初步评估时通常依赖它们来确诊,这导致了等待时间延长。本研究旨在确定常见收集的分诊数据与放射影像需求之间的关系。数据收集自利雅得急诊科阿卜杜勒阿齐兹国王医疗城(KAMC)分诊时包含常规收集的医院数据的电子病历。二元逻辑回归结果表明,年龄与急诊科开具的放射影像检查之间存在统计学上的显著关系。年龄每增加一岁,开具放射影像检查的可能性就增加0.983倍(比值比:0.983,95%置信区间:0.972 - 0.995,p = 0.004)。相比之下,高血压、糖尿病和心力衰竭并不是急诊科放射影像检查需求的独立预测因素(p > 0.05)。急诊科分诊时可立即获得的患者数据可用于预测急诊就诊期间的放射影像检查需求。此类模型可以识别出在急诊就诊期间可能需要进行放射影像检查的患者,并加快患者处置。