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

Nicholas Dobbs; Matthew Budak; Jonathan Weir-McCall; Sarah Vinnicombe; Ian Zealley

doi:10.1016/j.crad.2016.06.113

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 journal › Article › peer-review

12 Citations (Scopus)

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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 language	English
Pages (from-to)	993-996
Number of pages	4
Journal	Clinical Radiology
Volume	71
Issue number	10
Early online date	14 Jul 2016
DOIs	https://doi.org/10.1016/j.crad.2016.06.113
Publication status	Published - Oct 2016

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10.1016/j.crad.2016.06.113

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© <2016>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
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Corrigendum to "Acute pancreatitisa comparison of intervention rates precipitated by early vs guideline CT scan timing" [Clin Radiol 71 (10) (2016) 993-996]
Dobbs, N. W. (Lead / Corresponding author), Budak, M. J., Weir-McCall, J. R., Vinnicombe, S. J. & Zealley, I. A., Oct 2016, In: Clinical Radiology. 71, 12, p. 1311 1 p.
Research output: Contribution to journal › Article › peer-review

Cite this

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

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.",

author = "Nicholas Dobbs and Matthew Budak and Jonathan Weir-McCall and Sarah Vinnicombe and Ian Zealley",

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AU - Zealley, Ian

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N2 - 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.

AB - 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.

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DO - 10.1016/j.crad.2016.06.113

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SP - 993

EP - 996

JO - Clinical Radiology

JF - Clinical Radiology

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

Abstract

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Research output

Corrigendum to "Acute pancreatitisa comparison of intervention rates precipitated by early vs guideline CT scan timing" [Clin Radiol 71 (10) (2016) 993-996]

Cite this