A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department
Yıl: 2019 Cilt: 20 Sayı: 6 Sayfa Aralığı: 541 - 546 Metin Dili: İngilizce DOI: 10.4274/imj.galenos.2019.39112 İndeks Tarihi: 21-04-2020
A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department
Öz: Introduction: Teleradiology plays an essential role in theaccurate and prompt diagnosis of patients in the emergencydepartment (ED). This study aimed to analyze some factorsaffecting the use of teleradiology in EDs.Methods: We retrospectively examined computerizedtomography (CT) images taken in our ED over one month.We compared patients for whom emergency physicians (EP)requested an immediate report via teleradiology (group 1),and patients for whom they requested no report and assessedthemselves (group 2), in terms of demographic characteristics,complaints, outcomes, and re-admission.Results: The study population consisted of 1999 patients, 831in group 1, and 1168 in group 2. The patients in group 2 wereolder (42.87±25.12 years) than those in group 1 (38.78±25.03years) (p<0.01). The proportion of reports issued in forensiccases (85.8%) was significantly higher than that in non-forensiccases (p<0.05). EPs most commonly requested reports forpatients presenting to the hospital due to abdominal pain(p<0.05). EP requested significantly more reports for patientsadmitted to the hospital and for subjects who died (p<0.05).The re-admission rate among patients who were dischargedwithout teleradiology consultation was higher than there-admission rate of those who were discharged after theteleradiology consultation (p=0.01).Conclusion: Our findings show that teleradiology is most usedin forensic cases, for patients with abdominal pain, who areadmitted to clinics, and at after-hours.
Anahtar Kelime: Konular:
Serviste Bilgisayarlı Tomografi için Teleradyoloji Konsültasyonu Yapılan Hastaların Tanımlayıcı Bir Analizi
Öz: Amaç: Teleradyolojinin, acil servislerde hastalara zamanında ve doğru tanı konmasında önemli bir işlevi vardır. Bu çalışmamızda acil hekiminin teleradyolojiyi daha çok hangi durumlarda kullandığını inceleyerek, acil servislerde teleradyoloji kullanımını etkileyen faktörleri tespit etmek istedik. Yöntemler: Bir ay boyunca acil servislerde çekilen bilgisayarlı tomografi (BT) görüntülerini retrospektif olarak inceledik. Acil hekiminin teleradyolojiden hemen raporlama istediği (grup 1) ve raporlama istemeyip kendisinin değerledirdiği hastaları (grup 2); demografik özellikleri, şikayetleri, sonlanımları ve tekrar başvuru açısından karşılaştırdık. Bulgular: Çalışmada toplam 1999 hasta olup, bunların 831’i grup 1 1168’i ise grup 2’ye aittir. Grup 2’deki (42,87±25,12 yıl) hastalar grup 1’dekilerden (38,78±25,03 yıl) daha yaşlıdır (p<0,01). Adli olgularda raporlanma oranı (%85,8) adli olmayanlara göre anlamlı düzeyde daha yüksektir (p<0,05). Acil hekimleri en fazla raporlamayı karın ağrısı şikayetiyle hastaneye başvurup abdomen BT çekilen hastalara istemiştir (p<0,05). Acil hekimi hastaneye yatırılan ve ölen olgulara taburcu olanlara göre daha fazla raporlama talep etmiştir (p<0,05). Teleradyoloji konsültasyonu yapılmadan taburcu edilen olguların acile tekrar başvuru oranı, teleradyolojiye konsülte edilip taburcu edilenlerinkinden anlamlı düzeyde daha yüksektir (p=0,01). Sonuç: Bu araştırmada, adli olgularda, karın ağrılı hastalarda, hastaneye yatırılarak tedavi edilmesi gereken hastalarda ve mesai dışındaki saatlerde acile başvuran hastalarda teleradyolojinin daha fazla kullanıldığını tespit ettik.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | TURGUT K, BUCAK İ, ALMİŞ H, ŞİRİK M, TURGUT M (2019). A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. , 541 - 546. 10.4274/imj.galenos.2019.39112 |
| Chicago | TURGUT KASIM,BUCAK İbrahim Hakan,ALMİŞ Habip,ŞİRİK Mehmet,TURGUT Mehmet A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. (2019): 541 - 546. 10.4274/imj.galenos.2019.39112 |
| MLA | TURGUT KASIM,BUCAK İbrahim Hakan,ALMİŞ Habip,ŞİRİK Mehmet,TURGUT Mehmet A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. , 2019, ss.541 - 546. 10.4274/imj.galenos.2019.39112 |
| AMA | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. . 2019; 541 - 546. 10.4274/imj.galenos.2019.39112 |
| Vancouver | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. . 2019; 541 - 546. 10.4274/imj.galenos.2019.39112 |
| IEEE | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M "A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department." , ss.541 - 546, 2019. 10.4274/imj.galenos.2019.39112 |
| ISNAD | TURGUT, KASIM vd. "A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department". (2019), 541-546. https://doi.org/10.4274/imj.galenos.2019.39112 |
| APA | TURGUT K, BUCAK İ, ALMİŞ H, ŞİRİK M, TURGUT M (2019). A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. İstanbul Medical Journal, 20(6), 541 - 546. 10.4274/imj.galenos.2019.39112 |
| Chicago | TURGUT KASIM,BUCAK İbrahim Hakan,ALMİŞ Habip,ŞİRİK Mehmet,TURGUT Mehmet A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. İstanbul Medical Journal 20, no.6 (2019): 541 - 546. 10.4274/imj.galenos.2019.39112 |
| MLA | TURGUT KASIM,BUCAK İbrahim Hakan,ALMİŞ Habip,ŞİRİK Mehmet,TURGUT Mehmet A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. İstanbul Medical Journal, vol.20, no.6, 2019, ss.541 - 546. 10.4274/imj.galenos.2019.39112 |
| AMA | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. İstanbul Medical Journal. 2019; 20(6): 541 - 546. 10.4274/imj.galenos.2019.39112 |
| Vancouver | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department. İstanbul Medical Journal. 2019; 20(6): 541 - 546. 10.4274/imj.galenos.2019.39112 |
| IEEE | TURGUT K,BUCAK İ,ALMİŞ H,ŞİRİK M,TURGUT M "A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department." İstanbul Medical Journal, 20, ss.541 - 546, 2019. 10.4274/imj.galenos.2019.39112 |
| ISNAD | TURGUT, KASIM vd. "A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department". İstanbul Medical Journal 20/6 (2019), 541-546. https://doi.org/10.4274/imj.galenos.2019.39112 |
