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Implementation of Cloud-Based Image Sharing Technology Significantly Reduced Repeat CT Imaging in a Regional Trauma System


Authors: Aman Banerjee MD, David Bronson MD, Debra Allen BSN, Patricia A Wilczewski RN, Robert Ferguson MD, Jeffrey A Claridge MD, MS

Introduction: The practice of repeating computed tomography (re-CT) is common among trauma patients transferred between hospitals incurring additional cost and radiation exposure. This study sought to evaluate the effectiveness of implementing modern cloud-based technology (lifeIMAGE®) across a regional trauma system to reduce the incidence of re-CT imaging.

Methods: This is a prospective interventional study to evaluate outcomes after implementation of lifeIMAGE® in January 2012. Key outcomes were rates of CT imaging, including the rates and costs of re-CT from January 2009 through December 2012.

Results: There were 1081 trauma patients transferred from participating hospitals during the study period (657 patients before and 425 patients after implementation) with the overall re-CT rate of 20.5%. Rates of any CT imaging at referring hospitals decreased (62% vs. 55%, p < 0.05) and also decreased at the accepting regional level 1 center (58% vs. 52%, p < 0.05) following system implementation. There were 639 (59%) patients who had CT imaging performed prior to transfer (404 patients before and 235 patients after implementation). Of these patients the overall re-CT rate decreased from 38.4% to 28.1% (p = 0.01). Rates of re-CT head (21% vs. 11%, p = 0.002), chest (7% vs. 3%, p = 0.05), and abdomen and pelvis (12% vs. 5%, p = 0.007) were significantly reduced following system implementation. The cost of repeat imaging per patient was significantly lower following system implementation (mean charges of $1,046 vs. $589, p < 0.001). These results were more pronounced in a subgroup of patients with an ISS > 14 with a reduction in overall re-CT from 51% to 30% (p = 0.03). Conclusion: The implementation of modern cloud-based technology across the regional trauma system resulted in significant reductions in re-CT imaging and cost.

lifeIMAGE Abstract.docx

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11th Annual Trauma Symposium

We all made it through 2020, but some of the affects are still ahead of us, so NOTS has decided to make our yearly event virtual for one more year.

We are also excited that we will be offering this for FREE. This is to honor all of our front line workers during this pandemic. 

Our NOTS mission is to provide the highest quality of care to patients across our region, and this symposium is great way to get your CME requirements while expanding your knowledge in trauma today. 

This activity has been approved for AMA PRA Category 1 Credit™. (7 CMEs)

Virtual (Registration to open later on this year)

November 9th, 2021 from 7:00-3:30pm