caa a22 4500 606171460 CHVBK 20210128100723.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10140-014-1273-6 doi (NATIONALLICENCE)springer-10.1007/s10140-014-1273-6 Organ laceration grading adherence by radiologists [Elektronische Daten] [Vivek Kalra, Xiao Wu, Jamal Bokhari, Howard Forman] American Association for the Surgery of Trauma (AAST) abdominopelvic organ laceration grading is used to determine which patients can be managed non-operatively. We assess a change in the use of AAST grading system by radiologists at a single, large, academic institution before and after a one-time departmental intervention and reviewed non-graded reports evaluating if grading could be inferred. After IRB approval, a keyword search for "laceration” identified traumatic abdominopelvic CT reports in a 2-year period before and after the one-time intervention. Reports were reviewed to determine if an organ laceration was seen, if it was graded by AAST criteria, and if grading could be inferred for non-graded reports. T test was performed to assess statistical significance. Before the intervention, 348 reports contained the keyword "laceration,” 81 with lacerations, 31 graded (38%). After the intervention, 302 reports were found, 79 with lacerations, 59 graded (75%). The increase was statistically significant (p < 0.0001). A decreasing trend in grading was seen over time following the intervention. Two out of 50 (4%) pre-intervention and four out of 20(20%) post-intervention reportsgave enough detailed descriptions for the grading to be inferred when it was not explicitly stated. Non-graded reports did not describe laceration parenchymal depth and subcapsular hematoma surface area percentage; however, the presence/absence of active extravasation, omitted in the 20-year-old AAST grading scheme, was described in every report. One-time departmental intervention yielded a significant increase in adherence to AAST laceration grading. Lack of perfectcompliance, which diminished over time, suggests a need for further reinforcement. American Society of Emergency Radiology, 2014 Organ laceration nationallicence Compliance nationallicence Blunt abdominal trauma nationallicence Reporting guidelines nationallicence Kalra Vivek Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut Wu Xiao Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut Bokhari Jamal Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut Forman Howard Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 245-250 1070-3004 22:3<245 2015 22 10140 https://doi.org/10.1007/s10140-014-1273-6 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/s10140-014-1273-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kalra Vivek Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut NATIONALLICENCE 700 1- Wu Xiao Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut NATIONALLICENCE 700 1- Bokhari Jamal Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut NATIONALLICENCE 700 1- Forman Howard Department of Diagnostic Radiology, Yale School of Medicine, Tompkins East 2, 333 Cedar St, Box 208042, 06520-8042, New Haven, CT, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 245-250 1070-3004 22:3<245 2015 22 10140