Yıl: 2020 Cilt: 27 Sayı: 3 Sayfa Aralığı: 263 - 266 Metin Dili: İngilizce DOI: 10.5505/ejm.2020.32098 İndeks Tarihi: 27-11-2020

Are Computerized Tomography Scans Being Ordered More Than Necessary?

Öz:
Objective: Computerized tomography (CT) is one of themost common diagnostic imaging methods used in all hospitaladmissions. The frequency of ordering CT scans has beenrapidly increasing since its first use. Due to the X-rays,increased CT scans has been a concerns primarily for patients,and then for healthcare professionals who offer this service.In this study we aim to by determining the number anddistribution of all CT scans performed in our hospital preventthe CT demands other than clinical necessity and to decreasethe X-ray dose that the society is exposed to.Materials and Method: Between January 1, 2013 andDecember 31, 2019, the number of CT scans performed inour hospital was determined according to the departments andcompared with the number of patients.Results: While the number of patients admitted to theemergency room (ER) is 30.90% of the total number ofpatients, the number of CTs performed in ER was 35.92% ofthe total number of CTs. CT scan was performed in 5.05% ofthe total number of patients who admitted to the hospital andthis figure was 5.88% in ER patients. Changes in the numberof CT scans are statistically significant (p<0.005).Conclusion: Even though the changes in CT scan numberswere statistically significant, the results were not found to beclinically significant as there was no proportionally increasingdemand according to the years. We link this positive result tothe measures we have taken.
Anahtar Kelime:

Bilgisayarlı Tomografi Tetkikleri Gerekenden Fazla mı İsteniyor?

Öz:
Amaç: Bilgisayarlı tomografi (BT), tüm hastane başvurularında en sık kullanılan tanısal görüntüleme yöntemlerinden biridir. BT kullanım sıklığı ilk kullanılmaya başlandığı yıllardan beri hızla artmaktadır. Artan BT incelemeleri X ışınından dolayı, öncelikle hastalar, sonrasında bu hizmeti sunan sağlık personelleri için endişe oluşturmaktadır. Bu çalışmada hastanemizde yapılan tüm BT incelemelerinin sayısını ve dağılımını belirleyerek klinik gereklilik dışındaki BT istemlerini önlemeyi ve toplumun maruz kaldığı X-ışını dozunu azaltmayı amaçladık. Gereç ve Yöntem: 1 Ocak 2013 ve 31 Aralık 2019 tarihleri arasında hastanemizde yapılan BT incelemelerinin sayısı belirlenerek bölümlere göre dağılımı yapılmış ve hasta sayılarıyla karşılaştırılmıştır. Bulgular: Acil servise başvuran hasta sayısı hastaneye başvuran toplam hasta sayısının %30,90’ı iken, acil servis kaynaklı BT sayısı, toplam BT sayısının %35,92’sidir. Hastaneye başvuran toplam hasta sayısının %5,05’ine BT çekilirken, acil servise gelen hastaların % 5.88’ine BT çekilmiştir. BT sayılarındaki değişiklikler istatiksel olarak anlamlıdır (p<0,005). Tartışma: BT sayılarındaki değişiklikler istatiksel olarak anlamlı olsada oransal olarak yıllara göre devamlı bir artış olmadığından klinik olarak anlamlı bulunmadı. Bu olumlu sonucu almış olduğumuz tedbirlere bağlamaktayız.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gündüz A, toprak n (2020). Are Computerized Tomography Scans Being Ordered More Than Necessary?. , 263 - 266. 10.5505/ejm.2020.32098
Chicago Gündüz Ali Mahir,toprak nurşen Are Computerized Tomography Scans Being Ordered More Than Necessary?. (2020): 263 - 266. 10.5505/ejm.2020.32098
MLA Gündüz Ali Mahir,toprak nurşen Are Computerized Tomography Scans Being Ordered More Than Necessary?. , 2020, ss.263 - 266. 10.5505/ejm.2020.32098
AMA Gündüz A,toprak n Are Computerized Tomography Scans Being Ordered More Than Necessary?. . 2020; 263 - 266. 10.5505/ejm.2020.32098
Vancouver Gündüz A,toprak n Are Computerized Tomography Scans Being Ordered More Than Necessary?. . 2020; 263 - 266. 10.5505/ejm.2020.32098
IEEE Gündüz A,toprak n "Are Computerized Tomography Scans Being Ordered More Than Necessary?." , ss.263 - 266, 2020. 10.5505/ejm.2020.32098
ISNAD Gündüz, Ali Mahir - toprak, nurşen. "Are Computerized Tomography Scans Being Ordered More Than Necessary?". (2020), 263-266. https://doi.org/10.5505/ejm.2020.32098
APA Gündüz A, toprak n (2020). Are Computerized Tomography Scans Being Ordered More Than Necessary?. Van Tıp Dergisi, 27(3), 263 - 266. 10.5505/ejm.2020.32098
Chicago Gündüz Ali Mahir,toprak nurşen Are Computerized Tomography Scans Being Ordered More Than Necessary?. Van Tıp Dergisi 27, no.3 (2020): 263 - 266. 10.5505/ejm.2020.32098
MLA Gündüz Ali Mahir,toprak nurşen Are Computerized Tomography Scans Being Ordered More Than Necessary?. Van Tıp Dergisi, vol.27, no.3, 2020, ss.263 - 266. 10.5505/ejm.2020.32098
AMA Gündüz A,toprak n Are Computerized Tomography Scans Being Ordered More Than Necessary?. Van Tıp Dergisi. 2020; 27(3): 263 - 266. 10.5505/ejm.2020.32098
Vancouver Gündüz A,toprak n Are Computerized Tomography Scans Being Ordered More Than Necessary?. Van Tıp Dergisi. 2020; 27(3): 263 - 266. 10.5505/ejm.2020.32098
IEEE Gündüz A,toprak n "Are Computerized Tomography Scans Being Ordered More Than Necessary?." Van Tıp Dergisi, 27, ss.263 - 266, 2020. 10.5505/ejm.2020.32098
ISNAD Gündüz, Ali Mahir - toprak, nurşen. "Are Computerized Tomography Scans Being Ordered More Than Necessary?". Van Tıp Dergisi 27/3 (2020), 263-266. https://doi.org/10.5505/ejm.2020.32098