Rapid brain MRI protocols reduce head computerized tomography use in the pediatric emergency department.

ABSTRACT:

Background

Rapid magnetic resonance imaging (MRI) protocols may be effective in the emergency department (ED) to evaluate nontraumatic neurologic complaints. We evaluate neuroimaging (rapid MRI [rMRI]), head computerized tomography [HCT], and full MRI) use following widespread implementation of rMRI protocols in a pediatric emergency department (ED).

Methods

We conducted a retrospective study in a tertiary care pediatric ED of encounters with neuroimaging during two 9-month periods: one prior to (control period) and one after generalized availability of 4 rMRI protocols (rMRI period). The primary outcome was differences in neuroimaging rates between the two periods. Secondary outcomes included ED process measures, unsuccessful imaging, and undetected pathology, with full MRI

SUBMITTER: Ramgopal S 

PROVIDER: S-EPMC6956479 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature