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Direct transfer of image intensifier images to pacs can reduce the need for post-operative check radiographs in orthopaedic trauma surgery
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Baxter, Jonathan A., Emmett, Steve, Barlow, Timothy and Costa, Matthew L. (2012) Direct transfer of image intensifier images to pacs can reduce the need for post-operative check radiographs in orthopaedic trauma surgery. Orthopaedic Proceedings : A supplement to The Bone & Joint Journal, 94-B (37). p. 506.
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Official URL: http://www.bjjprocs.boneandjoint.org.uk/content/94...
Abstract
Introduction:
The Patient Archiving and Communication System (PACS) has revolutionised the way that radiographs are stored and viewed in orthopaedic surgery. A recent advance has been the ability to upload images directly from the image intensifier to PACS. We postulated that this facility may reduce the need for post operative ‘check’ radiographs following many orthopaedic trauma procedures.
Patients and Method:
We performed an audit of post-operative radiographs requested in our University Hospital over three time periods: 31 days immediately before the direct upload facility was introduced, 31 days immediately after and a 31 day period two months later. Details from the operating lists were cross-referenced with image intensifier records to identify cases where it had been used. PACS records were then checked to determine if these images were available to view and if a formal ‘check’ radiograph was performed in the period prior to discharge.
Results:
A total of 624 orthopaedic trauma operations were reviewed. In the period before direct-upload of images began, 62% of all trauma procedures utilised the image intensifier and in 26% post-operative ‘check’ radiographs were taken. In the period immediately after uploading began, the image intensifier was used in 66% of cases with 84% of these images being uploaded. Fifteen percent of the patients had a check radiograph during this period. Two months later the image intensifier was used in 67% of cases. Although 96% of these images were uploaded, 14% still had a formal post-operative radiograph.
Conclusion:
The facility to upload images from the image intensifier in the operating theatre directly onto the PACS system has reduced the number of post-operative ‘check’ radiographs requested in our trauma department by 11%. This has reduced both the cost and radiation exposure involved in orthopaedic trauma surgery but has not eliminated the need for post-operative radiographs completely.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RD Surgery | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Orthopedics, Postoperative period | ||||
| Journal or Publication Title: | Orthopaedic Proceedings : A supplement to The Bone & Joint Journal | ||||
| Publisher: | British Editorial Society of Bone and Joint Surgery | ||||
| Official Date: | 2012 | ||||
| Dates: |
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| Volume: | 94-B | ||||
| Number: | 37 | ||||
| Page Range: | p. 506 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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