{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T04:05:02Z","timestamp":1748577902363,"version":"3.41.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We aimed to assess the impact of introduction of a dedicated trauma surgical unit (TSU) on CT utilisation for polytrauma in the Emergency Department (ED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single centre retrospective cohort study comparing adult patients undergoing CT for polytrauma following TSU introduction (Intervention group, <jats:italic>n<\/jats:italic>\u2009=\u2009617) to a historical Baseline group (<jats:italic>n<\/jats:italic>\u2009=\u2009257) over a matched time period. Patient impact, including initial clinical assessment, injuries, radiation exposure, incidental findings, ED disposition, and impact on radiology services were compared with Mann\u2013Whitney and Fisher's exact tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intervention patients were more likely to be examined by ED physicians (96.7% vs. 91.1%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) prior to CT. There was greater documented clinical suspicion for chest and abdominal injuries, with increased WBCT utilisation for Intervention (Baseline 17.1% vs. 47.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), with no significant increase in positive scans by region. More CT chest (Intervention 38.4% vs. Baseline 14.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), CT abdomen (42.6% vs. 12.6%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005) and CT pelvis (46.1% vs. 16%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) was performed even with low documented clinical suspicion, with no significant increase in positive findings. The intervention group returned for more additional scans (12.48% vs. Baseline 5.45%), had more incidental findings (23.66% vs. 15.18%), and were more likely to be admitted for observation (21.7% vs. 14%), all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05. Time to scan and total CT reporting time were significantly longer for Intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Introduction of a TSU was associated in a shift towards increased CT utilisation, with no increase in scan yield, increased incidental findings and impacts on Radiology workflow.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13843","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T08:41:02Z","timestamp":1740213662000},"page":"317-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>CT<\/scp> Utilisation in Emergency Department (<scp>ED<\/scp>) Assessment of Patients With Suspected Polytrauma: Impact of a Dedicated Trauma Surgical Team"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7979-8686","authenticated-orcid":false,"given":"Rebecca","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Qassin","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nihal","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zemar","family":"Vajuhudeen","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Thom","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey","family":"Paton","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonid","family":"Churilov","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odkhishig","family":"Ganbold","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5446-2751","authenticated-orcid":false,"given":"Natalie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Radiology Melbourne Medical School  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth P.","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Radiology Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Radiology Melbourne Medical School  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Institute of Health and Welfare \u201cWelfare AIoH. 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