Analisi gestionale sull'indagine radiografica nei traumi cranici

Abstract

23415 x-ray examinations of the skull performed in an emergency department were examined retrospectively.

The results show that it is wrong and dangerous, for medical-legal reasons, to perform x-ray examinations of the skull systematically in institutions where CT is available, as:

– the uselessness of the examination, also for legal purposes, has been demonstrated;

– its cost is twice the CT examination, on average;

– the radiologist's and the technician's demotivation compromises the diagnostic effectiveness in every case;

– the unmotivated use of CT and hospitalization becomes more frequent;

– the execution time is wasted and not useable otherwise;

– the deleterious sectorialization between abdominal and cerebral radiologists hampers the global and overall evaluation of the traumatised patient;

– radioprotection reasons press for a more cautious use of radiation.