Abuse of plain abdominal radiographs in abdominal pain. | [Rawal Medical Journal • 2007]

Author(s):

1. Tariq Wahab Khanzada: Isra University Hospital, Hyderabad, Pakistan

2. Abdul-Samad: Isra University Hospital, Hyderabad, Pakistan

3. Imrana Zulfikar: Isra University Hospital, Hyderabad, Pakistan

Abstract:

The objective of this study was to determine the frequency of unnecessary plain abdominal films and the magnitude of their impact in management plan of abdominal pain. Methods: This was a prospective cohort study conducted at Isra University Hospital, Hyderabad between 1st February 2006 and 31st July 2006. Eighty three patients undergoing plain abdominal radiography in emergency room during the above mentioned period were included. Pre–radiograph clinical diagnoses and final diagnoses were compared with special reference to the impact of radiograph on the change in diagnosis and treatment plan. The indications were analyzed on the basis of Royal College of Radiologists (RCR) guidelines. Results: RCR guidelines were observed in only 30% of the patients whereas 65% abdominal radiographs did not reveal any significant finding. Definite final diagnoses were derived on these abdominal radiographs in only 35% of the patients. Conclusion: In most of the patients the abdominal radiographs were unnecessary. Adherence to RCR guidelines will decrease the economic burden as well as the unnecessary radiation exposure.

Page(s): 47-49

DOI: DOI not available

Published: Journal: Rawal Medical Journal, Volume: 32, Issue: 1, Year: 2007

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