Clinical predictors of urgent findings on abdominopelvic CT in emergency department patients with Crohn's Disease

Inflammatory Bowel Diseases

Volumn 19, Issue 6, 2013, Pages 1179-1185

  Kerner, Caroline ^a   Carey, Kathleen ^a   Baillie, Charles ^a   Mills, Angela M ^a   Yang, Wei ^a   Hilton, Susan ^a   Synnestvedt, Marie B ^a   Weiner, Mark G ^a   Lewis, James D ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Abdominal imaging; Crohn's disease; Emergency department

Indexed keywords

ADALIMUMAB; AMINOSALICYLIC ACID; ANTIBIOTIC AGENT; AZATHIOPRINE; CERTOLIZUMAB PEGOL; CORTICOSTEROID; INFLIXIMAB; MERCAPTOPURINE; MESALAZINE; METHOTREXATE; METRONIDAZOLE; NARCOTIC AGENT; QUINOLONE; SALAZOSULFAPYRIDINE;

ABDOMINAL ABSCESS; ABDOMINAL PAIN; ABDOMINOPELVIC COMPUTED TOMOGRAPHY; APPENDICITIS; ARTICLE; COLON CANCER; COMPUTER ASSISTED TOMOGRAPHY; CONSTIPATION; CROHN DISEASE; CROSS-SECTIONAL STUDY; DIARRHEA; DIVERTICULITIS; EMERGENCY CARE; EMERGENCY WARD; FEMALE; HUMAN; INTESTINE ISCHEMIA; INTESTINE OBSTRUCTION; LEUKOCYTE COUNT; MAJOR CLINICAL STUDY; MALE; PANCREATITIS; PRIORITY JOURNAL; PYELONEPHRITIS; RECTUM HEMORRHAGE; RETROSPECTIVE STUDY; RISK ASSESSMENT; UROLITHIASIS;

ADULT; CROHN DISEASE; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HOSPITALIZATION; HUMANS; MALE; ODDS RATIO; PELVIS; PROGNOSIS; RADIOGRAPHY, ABDOMINAL; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84879205147     PISSN: 10780998     EISSN: 15364844     Source Type: Journal    
DOI: 10.1097/MIB.0b013e31828133ad     Document Type: Article

References (23)

1. Kocher KE, Meurer WJ, Fazel R, et al. National trends in use of computed tomography in the emergency department. Ann Emerg Med. 2011;58: 452-462.
2. Pines JM. Trends in the rates of radiography use and important diagnoses in emergency department patients with abdominal pain. Med Care. 2009; 47:782-786.
3. Berrington de Gonzalez A, Mahesh M, Kim K-P, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med. 2009;169:2071-2077.
4. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med. 2009;169:2078-2086.
5. Desmond AN, McWilliams S, Maher MM, et al. Radiation exposure from diagnostic imaging among patients with gastrointestinal disorders. Clin Gastroenterol Hepatol. 2012;10:259-265.
6. Desmond AN, O'Regan K, Curran C, et al. Crohn's disease: factors associated with exposure to high levels of diagnostic radiation. Gut. 2008;57:1524-1529.
7. Kroeker KI, Lam S, Birchall I, et al. Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: a five-year study. J Clin Gastroenterol. 2011;45:34-39.
8. Jaffe TA, Gaca AM, Delaney S, et al. Radiation doses from small-bowel follow-through and abdominopelvic MDCT in Crohn's disease. AJR Am J Roentgenol. 2007;189:1015-1022.
9. Ananthakrishnan AN, McGinley EL, Saeian K, et al. Trends in ambulatory and emergency room visits for inflammatory bowel diseases in the United States: 1994-2005. Am J Gastroenterol. 2010;105:363-370.
10. Kerner C, Carey K, Mills AM, et al. Use of abdominopelvic computed tomography in emergency departments and rates of urgent diagnoses in Crohn's disease. Clin Gastroenterol Hepatol. 2012;10:52-57.
11. Pines J, Uscher Pines L, Hall A, et al. The interrater variation of ED abdominal examination findings in patients with acute abdominal pain. Am J Emerg Med. 2005;23:483-487.
12. Sullivan LM, Massaro JM, D'Agostino RB Sr. Presentation of multivariate data for clinical use: the Framingham study risk score functions. Stat Med. 2004;23:1631-1660.
13. Harrell FE Jr, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996;15:361-387.
14. Steyerberg EW. Clinical Prediction Models: A Practical Approach to Development, Validation, and Updating. New York, NY: Springer; 2009.
15. Cox DR. Two further applications of a model for binary regression. Biometrika. 1958;45:3110354.
16. United States Food and Drug Administration. "Initiative to reduce unnecessary radiation exposure from medical imaging". December 14, 2010. Available at: http://www.fda.gov/Radiation-EmittingProducts/RadiationSafety/ RadiationDoseReduction/ucm199994.html. Accessed July 24, 2012.
17. Sahani DV, Kambadakone AR. Crohn's disease and radiation exposure: it's time we got our act together? Inflamm Bowel Dis. 2009;15:1278-1280.
18. Linton O, Tenforde TS, Amis ES, et al. Summary of workshop on CT in emergency medicine: ensuring appropriate use. J Am Coll Radiol. 2011;8: 325-329.
19. Fishman EK, Wolf EJ, Jones B, et al. CT evaluation of Crohn's disease: effect on patient management. AJR Am J Roentgenol. 1987;148:537-540.
20. Mazer M, Deroos F, Hollander JE, et al. Medication history taking in emergency department triage is inaccurate and incomplete. Acad Emerg Med. 2011;18:102-104.
21. O'Regan K, O'Connor OJ, O'Neill SB, et al. Plain abdominal radiographs in patients with Crohn's disease: radiological findings and diagnostic value. Clin Radiol. 2012;67:774-781.
22. Craig O, O'Neill S, O'Neill F, et al. Diagnostic accuracy of computed tomography using lower doses of radiation for patients with Crohn's disease. Clin Gastroenterol Hepatol. 2012;10:886-892.
23. Kambadakone AR, Prakash P, Hahn PF, et al. Low-dose CT examinations in Crohn's disease: Impact on image quality, diagnostic performance, and radiation dose. AJR Am J Roentgenol. 2010;195:78-88.