eP234 Evaluating the Appropriateness of CT Scan Usage in Acute Pancreatitis Management at a Tertiary Trauma Centre

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Discussion

Observational analysis identifies suboptimal adherence to CT scan guidelines in acute pancreatitis, suggesting improvements are needed.

Suboptimal adherence to CT scan guidelines in acute pancreatitis was observed, especially regarding symptom onset documentation.
Only 38% of CT requests documented symptom onset, and only 50% of scans were performed at the optimal time of 72 hours post-onset.
87% of requests for CT scans met appropriate indications, including assessing severity and addressing diagnostic uncertainty.
Limited comprehensive reporting on prognostic factors was noted, with only 36% including pancreatic necrosis, free fluid, and fat stranding.

Toh et al. (2025) studied this question.

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