2020
Implementation of an aortic dissection CT protocol with clinical decision support aimed at decreasing radiation exposure by reducing routine abdominopelvic imaging
Patel V, Fruauff A, Esses D, Lipsitz E, Levsky J, Haramati L. Implementation of an aortic dissection CT protocol with clinical decision support aimed at decreasing radiation exposure by reducing routine abdominopelvic imaging. Clinical Imaging 2020, 67: 108-112. PMID: 32559680, DOI: 10.1016/j.clinimag.2020.06.005.Peer-Reviewed Original ResearchConceptsAcute aortic syndromeAortic dissectionAortic syndromeClinical decision supportED patientsChest/abdomen/pelvisRadiation doseDiagnostic accuracyStudy periodTotal ED populationMedian radiation doseAbdomen/pelvisRoutine abdominopelvicVs. 3.7ED populationContrast doseDiagnostic yieldRetrospective analysisCT scanCT protocolPatientsDissectionRadiation exposureDoseScreening protocol
2017
Prospective study of a non-restrictive decision rule for acute aortic syndrome
Goldschmiedt J, Levsky J, Bellin E, Mizrachi E, Esses D, Haramati L. Prospective study of a non-restrictive decision rule for acute aortic syndrome. The American Journal Of Emergency Medicine 2017, 35: 1309-1313. PMID: 28427782, DOI: 10.1016/j.ajem.2017.04.014.Peer-Reviewed Original ResearchConceptsAcute aortic syndromeClinical decision ruleEmergency department patientsCT utilization ratesDepartment patientsAortic syndromeCT utilizationMean effective radiation doseRisk-stratify patientsHigh-risk groupDose reduction protocolResults of CTEffective radiation doseQuality improvement measuresAortic surgeryProspective cohortDerivation cohortHistoric cohortStudy cohortProspective studyAcute traumaSafe decreaseDiagnostic yieldPatientsClinical decision