Orbital fracture clinical decision rule development: burden of disease and use of a mandatory electronic survey instrument.

ABSTRACT:

Objectives

In preparation for development of a clinical decision rule (CDR) to promote more efficient use of computed tomography (CT) for diagnosing orbital fractures, the authors sought to estimate the annual incidence of orbital fractures in emergency departments (EDs) and the usage of CT to make these diagnoses. The authors also sought to evaluate a mandatory electronic data collection instrument (EDCI) administered to providers to facilitate CDR data collection.

Methods

National estimates were made by analyzing the 2007 National Hospital Ambulatory Medical Care Survey (NHAMCS) database, while hospital billing system and coding data were used to make local estimates. An EDCI was integrated into the CT ordering system such that providers had to complete the form to perform

SUBMITTER: Yadav K 

PROVIDER: S-EPMC3311987 | biostudies-literature | 2011 Mar

REPOSITORIES: biostudies-literature