Computed tomography scanning in pediatric trauma: Opportunities for performance improvement and radiation safety

Charles W.Hartin Jr.,MD; Jeffery M.Jordan,MD, PhD; Seth Gemme, BS; Philip L. Glick,MD, MBA; Michael G.Caty, MD, MMM; Doruk E. Ozgediz, MD, MSc; Kathryn D. Bass, MD

Abstract

Background
Recently, pediatric CT scanning protocols have reduced radiation exposure in children. Because evaluation with CT scan after trauma contributes to significant radiation exposure, we reviewed the CT scans in children at both initial presentation at a non-pediatric facility and subsequent transfer to a level I pediatric trauma center (PTC) to determine the number of scans, body area scanned, radiation dosage, and proportion of scans at each facility.

Methods
The trauma database was retrospectively reviewed for children aged 0 to 17 y initially evaluated for trauma at another facility and then transferred to our PTC for pediatric specialty care between January 2000 and December 2010.

Results
A total of 1562 patients with 1335 CT scans were reviewed over an 11-y period. The majority of CT scans occur at the referring facility compared to the PTC in a ratio of 7:3. CT of the head was [Read more]

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