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Doctors Bedside Exam 'more Effective Than CT Scan'
A Loyola University Health System study has found physicians' bedside exams did a better job than CT scans in predicting which patients would have to be operated.
Researchers noted the records of 251 patients who received CT scans within 24 hours of surgery at Loyola.
They included 133 patients who received routine scans within seven hours of surgery and 108 patients who received routine scans between 8 hours and 24 hours after surgery.
However, none of the routine scans predicted which patients would need to return to the operating room.
Patients had also received bedside neurological exams by physicians. In 10 cases, physicians detected serious problems, such as being slow to wake up, that warranted an urgent CT scan.
Three of these urgent scans (30 percent) confirmed the patients' problems were serious enough to require a return to the operating room.
By comparison, 0 percent of the 241 routine CT scans predicted whether patients would have to return to the emergency room.
A normal CT scan given right after surgery might give a doctor a false sense of security, which could lead to less frequent monitoring and neurological exams.
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