325 The Appropriate Use of Plain Film Abdomen in The Acute Surgical Assessment Unit: The Experience of a Model Three Irish Hospital

Abstract

Abstract Introduction A plain film abdomen (PFA) is a useful modality of imaging if used correctly. However, when used inappropriately, it leads to unnecessary cost and increases patients’ exposure to radiation. The aim of this study is to assess the adherence to the Royal College of Radiologists (RCR) guidelines for PFA use in acute surgical patients. Method A retrospective study was conducted in the Acute Surgical Assessment Unit (ASAU) of a Model 3 Irish Hospital over a 12-day period in October 2019. Data was obtained using a Patient Census Book and the National Integrated Medical Imaging System (NIMIS). Recorded indications for the PFAs were compared against RCR guidelines. Results A total of 207 patients were reviewed, 113 males and 94 females, with a median age of 45. In 67 out of 207 patients (31.4%) a PFA was performed. A total of 31 (46.3%) were valid indications. A significant finding was present in 6 of the PFAs none related to the presenting complaint. Discussion Based on RCR guidelines regarding the indications for PFA, >50% of the patients had a PFA for reasons not indicated by their presenting complaint. If implemented properly, adherence to guidelines could save cost and more importantly, safeguard our patients.