Who Contributes to the Ordering of CT Scans in Emergency Department Patients?

Emergency Clinical Trial

Official title:

Who Contributes to the Ordering of Computed Tomography in Emergency Department Patients? A Prospective Survey Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02040896
• Other study ID #: Pro00047697
• Status: Completed
• Start date: January 2014
• Est. completion date: January 2015

Study information

• Verified date: January 2020
• Source: Duke University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The primary objectives are:

1. To investigate which healthcare workers and other individuals contribute to the decision to order computed tomography (CT) scans for emergency department (ED) patients.

2. To investigate the specific reasons healthcare workers and other individuals order or request CT scans for ED patients.

3. To determine the frequency of clinically important actions following CT scan results.

Once the drivers of ED CT utilization are identified, interventions including education, incentives for compliance with evidence-based best practices, and interventions for noncompliance could be targeted appropriately.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1500
• Est. completion date: January 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients from age 0 to <17 years, and patients age 18 years and older with traumatic and non-traumatic presentations, who visit Adult and Pediatric EDs and receive a CT scan during their ED visit

Exclusion Criteria:

• Patients older than 17, yet younger then 18.

• Patients who are unable to consent and who do not have a legally authorized representative.

Related Conditions & MeSH terms

• Emergencies
• Emergency

Locations

Country	Name	City	State
United States	Duke University Hospital	Durham	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Duke University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	CT scans utilization	Results will be categorized by body region of CT and patient age. For each CT region and age category, the percentage of CT scans requested by each demographic group (e.g., patient, emergency physician, etc.), will be reported, with 95% confidence intervals.; CTs not requested by emergency physicians, the percentage of each type of scan requested by each demographic group will be reported, with 95% confidence intervals.	January 2014 - January 2015
Secondary	Abnormal vs. normal CT scans	The frequency of abnormal CT results and clinical interventions will be calculated, for CTs requested by emergency physicians and for those not requested by emergency physicians (this includes all other parties).	January 2014 - January 2015