Saudi Journal of Biomedical Research (SJBR)
Volume-3 | Issue-05 | 160-165
Original Research Article
To Determine the Frequency of Unnecessary Computed Tomography Scan Occuring in a Tertiary Care Hospital
Saba Mushtaq, Umul Baneen Muhammad Riasat, Dr. Sajid Shaheen Malik, S. M. Yousaf Farooq
Published : Oct. 30, 2018
Abstract
CT scan is a revolutionized diagnostic imaging modality that allows threedimensional visualization of a region of the body in different planes. Besides its
advantages, CT has disadvantages as well. The radiations used in CT scans are ionizing
X-ray radiations which increase the risk of cancer progression. The rate of unnecessary
CT scans has increased over the past few years which has resulted in increased exposure
to the patient and increased healthcare cost as well. The aim of this study was to
determine the actual rate of unnecessary CT scans in a tertiary care hospital of our
country. The study was conducted on 385 patients in the Aziz Bhatti Shaheed Teaching
Hospital, Gujrat in time duration of three months. It was an observational cross-sectional
study. Scoring of the results was done by the co-supervisor having an experience of over
15 years. The scoring system was categorized from score 0 to score 2.Score 0 had no
pathological finding, score 1 had suspicious finding and score 2 had confirmed
pathological finding mentioned in the request form. A total of 385 patients were
included in this research 162 females (42.1%) and 223 males(57.9%) with a mean age of
38.2±22.5-year (1-100 years).In this study 147 patients(38.2%) were categorized
underscore 0 they were having no pathological finding and their results were normal,25
patients(6.5%) were categorized underscore 1 they had suspicious findings and were
considered for follow up scan and the remaining 213(55.3%) patients were categorized
underscore 2 they had confirmed pathology. Results concluded that the rate of
unnecessary CT scans performed in this country is 38.2% which is considerably high.
Unnecessary CT scans can lead to the risk of developing contrast-induced nephropathy
(CIN) due to radiation exposure. The high cost of this test may cause a delay in the
treatment of the patients.