caa a22 4500 605492905 CHVBK 20210128100518.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00261-015-0349-4 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0349-4 Incidental findings detected on emergency abdominal CT scans: a 1-year review [Elektronische Daten] [M. Kelly, A. Heeney, C. Redmond, J. Costelloe, G. Nason, J. Ryan, D. Brophy, D. Winter] Introduction: In recent years, there has been a substantial rise in the use of computed tomography (CT) in the emergency medicine setting. Accordingly, with increased CT usage there has been an upsurge in incidental pathology detection. Methods: A retrospective review of all emergency CT abdominal scans performed at a university teaching hospital was examined. The frequency of incidental findings, their clinical significance and workload effect for the radiology department was assessed. Results: 1155 patients had an emergency abdominal CT scan of which 700 had incidental findings detected. Of the incidental findings, 143 were deemed indeterminate requiring urgent investigations. Twenty-four occult neoplasms were confirmed subsequently. Additionally, 259 patients were recommended for additional diagnostics. The cumulative effect of the initial emergency abdominal CT was 15,015 relative value units (RVU). Subsequent imaging of incidental findings resulted in another 1674 RVU workload for radiology. Conclusion: Incidental findings cause considerable debate and concern over which patients require significant follow-up, investigations, and/or surveillance. This exerts significant pressures on sub-specialties for their expert input, with increased workload and implications on healthcare service provision. Springer Science+Business Media New York, 2015 Emergency medicine nationallicence Surgical care nationallicence Acute surgical management nationallicence Computed tomography nationallicence Incidental findings nationallicence Kelly M. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Heeney A. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Redmond C. Department of Radiology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Costelloe J. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Nason G. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Ryan J. Department of Emergency Medicine, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Brophy D. Department of Radiology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Winter D. Department of Emergency Medicine, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1853-1857 0942-8925 40:6<1853 2015 40 261 https://doi.org/10.1007/s00261-015-0349-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0349-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kelly M. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Heeney A. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Redmond C. Department of Radiology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Costelloe J. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Nason G. Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Ryan J. Department of Emergency Medicine, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Brophy D. Department of Radiology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Winter D. Department of Emergency Medicine, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1853-1857 0942-8925 40:6<1853 2015 40 261