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There are only few recognized indications for the realization of plain abdominal X-rays in the emergency departement.
The objective of this study is to explore the reasons for abdominal plain X-rays prescription in the Emergency departments (EDs) of two hospitals.
All abdominal plain x-rays prescription will be reviewed in order to identify reasons for prescribing this exam. The indications will be compared to international guidelines in order to identify whether abdominal plain x-rays are overprescribed. Reasons for overprescription will be identify by chart review.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Plain abdominal x-ray | All patients admitted to 2 EDs and with a prescription of an abdominal plain x-ray. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| abdominal plain x-ray | Other | Abdominal plain x-ray as prescribed by the emergency physician |
|
| Measure | Description | Time Frame |
|---|---|---|
| Indications for abdominal plain x-ray prescription | Identification of the indications for abdominal plain x-ray and of the number of patients with appropriate indications accordingly to international guidelines | Within 24 hours after ED admission |
| Measure | Description | Time Frame |
|---|---|---|
| Number and types of other prescribed radiological exams | Describe whether other radiological exams (CT, ultrasonography, MRI) have been performed and their indications. | Within 24 hours after ED admission |
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Inclusion Criteria:
Exclusion Criteria:
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All adult patients during one year in 2 EDs in the state of Geneva, Switzerland, with a prescription of an abdominal plain x-ray
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| Name | Affiliation | Role |
|---|---|---|
| Omar Kherad, MD, MPH | Hopital de La Tour | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geneva University Hospitals, ED | Geneva | 1211 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30642302 | Derived | Bertin CL, Ponthus S, Vivekanantham H, Poletti PA, Kherad O, Rutschmann OT. Overuse of plain abdominal radiography in emergency departments: a retrospective cohort study. BMC Health Serv Res. 2019 Jan 14;19(1):36. doi: 10.1186/s12913-019-3870-2. |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D000006 | Abdomen, Acute |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D015746 | Abdominal Pain |
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| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D012817 | Signs and Symptoms, Digestive |