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OpenTrials
Completed

NCT Number: NCT02040896

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

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.

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Key information

Conditions

Emergency Disease Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

Primary location

Duke University Hospital

Durham, North Carolina, 27710, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Primary outcomes

  1. CT scans utilization

    Time frame: January 2014 - January 2015

    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.

Secondary outcomes

  1. Abnormal vs. normal CT scans

    Time frame: January 2014 - January 2015

    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).

Sponsors and collaborators

Lead sponsor

Duke University

Other

Registry information

Official study title

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

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jan 20, 2014
Registry last updated
Mar 27, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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