@article{16521,
  author = {Taylor Colman and Curtis Kate and Asha S. and Grant N. and Smart R. and Compagnoni K. and Lo S.},
  title = {Comparison of radiation exposure of trauma patients from diagnostic radiology procedures before and after the introduction of a panscan protocol},
  abstract = {<p>
Objectives: To compare the proportion of patients exposed to a radiation dose in excess of 20 mSv, and to document missed injuries before and after the introduction of a panscan protocol for blunt trauma. Methods: Data were collected retrospectively from our trauma database for 6 months before and after implementation of the protocol. All radiological studies performed during the initial patient assessment were identified. Radiation doses for each patient were calculated. Subgroup analyses were age <!--=30 and -->30 years, injury severity score (ISS) &lt;16 and &gt;/=16, and patient disposition as discharged from ED or admitted. Results: There were 656 patients before and 624 after the introduction of the protocol. The proportion of patients exposed to a radiation dose &gt;20 mSv increased by 8% (95% confidence interval [CI] 4-12), which equated to one extra person being exposed to &gt;20 mSv for every 13 patients treated after the introduction of the protocol. The odds of receiving a radiation dose &gt;20 mSv after the introduction of the protocol compared with the odds before were increased across all subgroups (<!--=30 years: odds ratio [OR] 2.7, 95% CI 1.3-5.8, P = 0.008; -->30 years: OR 2.2, 95% CI 1.5-3.4, P &lt; 0.001; ISS &lt; 16: OR 2.4, 95% CI 1.5-3.9, P &lt; 0.001; ISS &gt;/= 16: OR 2.0, 95% CI 1.0-3.7, P = 0.04; discharged home: OR 2.1, 95% CI 0.7-6.0, P = 0.17; admitted: OR 2.2, 95% CI 1.5-3.3, P &lt; 0.001). There were six missed injuries before and four after. Conclusions: Introduction of a panscan protocol increased the proportion of trauma patients receiving a radiation dose &gt;20 mSv. This increased risk occurred regardless of age or injury severity.
</p>
},
  year = {2012},
  journal = {Emergency Medicine Australasia},
  volume = {24},
  edition = {2012/02/09},
  number = {1},
  pages = {43-51},
  isbn = {1742-6723 (Electronic)1742-6723 (Linking)},
  note = {Asha, StephenCurtis, Kate AnneGrant, NicoleTaylor, ColmanLo, SerigneSmart, RichardCompagnoni, KatherineAustraliaEmergency medicine Australasia : EMAEmerg Med Australas. 2012 Feb;24(1):43-51. doi: 10.1111/j.1742-6723.2011.01504.x. Epub 2011 Dec 7.},
  language = {eng},
}