Acute pancreatitis: a comparison of intervention rates precipitated by early vs guideline CT scan timing

Nicholas Dobbs (Lead / Corresponding author), Matthew Budak, Jonathan Weir-McCall, Sarah Vinnicombe, Ian Zealley

Research output: Contribution to journalArticle

5 Citations (Scopus)
212 Downloads (Pure)

Abstract

Aim: To assess whether CT scanning earlier in acute pancreatitis (AP) precipitates any surgical or radiological intervention.
Materials and Methods: A single centre retrospective cohort study comparing intervention rates in AP precipitated by early (<6 day of admission, n=100) and UK guideline (≥6 day of admission, n=103) CT scans.
Results: No intervention was precipitated by scanning before the 6th day of admission in AP. A statistically significant larger number of interventions were precipitated when scanning on the 6th day or later (P<0.05). Of note this study was conducted using day of admission, rather than day of symptom onset. 6 patients underwent repeat scanning in the same admission after an early scan.
Conclusion: Scanning before the 6th day of admission does not lead to earlier intervention. Such early scans waste resources and may offer false reassurance to clinicians.
Original languageEnglish
Pages (from-to)993-996
Number of pages4
JournalClinical Radiology
Volume71
Issue number10
Early online date14 Jul 2016
DOIs
Publication statusPublished - Oct 2016

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