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Volume 9 Journal of Health & Medical Informatics
ISSN: 2157-7420 Medical Informatics 2018
July 05-06, 2018
July 05-06, 2018 | Berlin, Germany
6th International Conference on
Medical Informatics & Telemedicine
CURRENTSTATEOFABDOMINALCOMPUTEDTOMOGRAPHYPERFORMEDINEMERGENCY
DEPARTMENT OF A TERTIARY UNIVERSITY HOSPITAL AND DEVELOPMENT OF A
PRELIMINARY INTERPRETATION CHECKLIST
Ju-Hyun Songa
aKorea University Ansan Hospital, South Korea
Statement of the Problem: Abdominal computed tomography (CT) is a widely recognized method to diagnose patients with
acute abdominal pain in the emergency department (EDs). We aimed to investigate the current state and interpretations of
abdominal CT performed in the ED of a tertiary university hospital.
Methodology & Theoretical Orientation: This was a retrospective study based on an abdominal CT database and medical
records of patients over 15 years of age, who had visited our ED between January 1 and December 31, 2013. The data collected
included CT types, final interpretations, characteristics of the patients, and location of pain at the time of CT.
Findings: A total of 1,978 abdominal CTs were performed among 1,923 patients during the research period. The most frequent
organs involved in the major diagnosis were those in the urinary system, followed by the appendix, liver, large intestine, and
gallbladder. The most frequently interpreted diagnosis in these organs was in the order of urinary stone, appendicitis, liver
cirrhosis, infectious colitis, and acute cholecystitis. The most frequent location of pain was the right lower quadrant (429 cases,
21.7%), and the most frequently performed CT type was contrast-enhanced abdominal and pelvic CT (1,260 cases, 63.7%).
Conclusion & Significance: Various interpretations were derived based on the abdominal CTs, ranging from critical to mild
diseases and from common to rare diseases. Based on this study, we have developed a preliminary interpretation checklist for
abdominal CT.
Biography
Ju-Hyun Song is an Emergency Physician who is interested in Emergency Radiology and Education. From this study, he and his colleagues developed a
preliminary interpretation checklist for abdominal CT. Emergency department residents in his institution are now utilizing that checklist for preliminary interpretation
of abdominal CT. In addition to this study, he investigated learning curve for competent diagnosis of acute appendicitis using abdominal computed tomography. In
that study, novice residents require 16 to 20 checklist interpretation to acquire acceptable CT interpretation for acute appendicitis. He plans to investigate learning
curve for other significant diseases such as diverticulitis, cholecystitis and ureteral stone using preliminary interpretation checklist.
Ju-Hyun Song, J Health Med Informat 2018, Volume 9
DOI: 10.4172/2157-7420-C1-021