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KMID : 0360720170300020025
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Journal of the Korean Society Traumatology
2017 Volume.30 No. 2 p.25 ~ p.32
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Changes of Clinical Practice in Gastrointestinal Perforation with the Increasing Use of Computed Tomography
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Park Ji-Min
Yoon Young-Hoon
Horeczko Timothy
Kaji Amy Hideko
Lewis Roger J
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Abstract
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Purpose:: The use of computed tomography (CT) to evaluate acute abdominal complaints has increased over the past two decades. We investigated how the clinical practice of patients with intestinal perforation has changed with the increasing use of abdominal CT in the emergency department (ED).
Methods: We compared ED arrival to CT time, ED arrival to surgical consultation time, and ED arrival to operation time according to the method of diagnosis from 2003-2004 and 2013-2014.
Results: In patients with gastrointestinal perforation, time from ED arrival to CT was shorter (111.4±66.2 min vs. 199.0±97.5 min, p=0.001) but time to surgical consultation was longer (135.1±78.8 vs. 77.9±123.7, p=0.006) in 2013-2014 than in 2003-2004. There was no statistically significant difference in time to operation for perforation confirmed either by plain film or CT between the two time periods. There was no statistically significant difference in length of hospital or ICU stay or mortality between the two groups.
Conclusion: With the increasing use of abdominal CT in ED, ED arrival to CT time has decreased and ED arrival to surgical consultation time has increased in gastrointestinal perforation. These changes of clinical performance do not delay ED arrival to operation time or adversely influence patient outcome.
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KEYWORD
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Gastrointestinal perforation, Computed tomography, Clinical performance
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