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Are patients not getting the right diagnosis and are there missed injuries when emergency departments opt for CT Scans?
According to the numbers; yes.
In patients with multiple traumas, those who were over 30 years old with severe injuries across more than two body parts were more likely to experience a missed injury upon initial CT scan, according to a recent Radiology study.
Research on the topic has yielded varying missed injury rates, ranging from 3.5 percent to 71.4 percent, according to lead author Nathan Banaste, with CHU Centre Léon Bérard in Lyon, France, and colleagues. These misses can result in grave consequences for all involved, they noted.
“In the emergency setting, the crucial need for rapid diagnosis to start the first care and the high number of whole-body CT images that require extended interpretation time often lead to misinterpretations,” Banaste et al. wrote. “Missed injuries could potentially have serious consequences for patients with multiple traumas and also for physicians.”
The team set out to determine radio-logic and clinical markers that could help identify patients most at-risk for missed injuries. They retrospectively analyzed 2,354 consecutive whole-body CT exams in patients with multiple traumas from 26 hospitals at a French teleradiology center.
To determine a standard of reference, an on-call radiologist interpreted all CT images that were reviewed 12 to 48 hours later by a different radiologist to detect missed injuries.
On a per-scan basis, totaled 304 (12.9 percent) injuries were missed, 59 (2.5 percent) of which were “clinically significant,” according to authors. The missed injury rate, determined on a per-injury basis, proved to be 8.8 percent.
Additionally, those with more than two injured body parts, over 30 years of age and an initial clinical severity class of one were predictive of missed injury.
“The number of body parts, number of injuries and the injury severity score were highly correlated, which suggested that these factors were interchangeable to predict a missed injury,” authors wrote.
One potential explanation for their findings, Banaste et al. pointed out, is the “satisfaction of search effect.” This happens when radiologists devote their attention to injury detection, causing them to overlook potential injuries in other areas of the body.
Banaste and colleagues also said many patients in the study benefited from a second whole-body CT reading, which is recommended by a trauma tertiary survey, they wrote. The practice allows for a “comprehensive diagnostic overview, leading to prompt tailored care and thus limited morbidity.”
From – 3 factors that lead to missed injuries in multi-trauma CT patients – August 09, 2018 | Matt O’Connor | Diagnostic Imaging
There are an average of 27,000 accidents each and every day in the United States. Which means there is probably about 9,000 people each day that will need an MRI, X-Ray or some other Personal Injury imaging need for their case or medical treatment to proceed.
Add to this the hundreds of funding companies, and the fact each imaging center is different on how they want to handle a Personal Injury or Worker’s Comp client, and what should be an easy step in treatment and building a case can quickly turn into a nightmare.
So with these facts and more than 7,500 MRI and imaging centers nationwide, how can an attorney or medical provider decide which one is the best?
Let me introduce you to CP Healthcare…
CP Healthcare is a nationwide imaging network who has streamlined this process to make scheduling easy and settlements even easier!
Founded in 2014 in Georgia, CP Healthcare has worked tirelessly to get imaging centers in the network so there is full coverage from a location and service standpoint. Once an order is received, CP Healthcare finds the closest imaging center to the clients home address or transit stop that offers the modalities needed for the image. CP Healthcare is in constant communication with all parties to assure the client is schedule, has arrived and has completed their imaging appointment. Once the scan is completed, CP Healthcare provides all reports and documents to all parties immediately so the treatment plan can be formulated by the medial provider and the case can take shape with the attorney.
At settlement time, CP Healthcare is even more client friendly. There will always be good cases. There will always be bad cases. CP Healthcare will work with the attorney to make sure the case can settle quickly. Settlements are pretty much as simple as an email.
Personal Injury Imaging can be a hassle. Worker’s Comp Imaging can be a headache. CP Healthcare takes the pain out of both so you can focus on treatment and winning your case.
