CT-based diagnosis in patients presenting with throat pain: A single institutional review

Abstract

Rationale and objectiveTo determine if patient demographic data, medical history, physical examination, and laboratory tests will help predict likelihood of imaging-based diagnosis using CT of the neck performed in the ED for a chief complaint of throat pain. Material and methodsSingle institutional, retrospective review of 367 CT scans of the neck performed for the evaluation of throat pain in the ED from August 2013 to September 2019. Patients' clinical history, physical exams, lab findings, and imaging results were recorded. ResultsA total of 367 CT scans of the neck performed for the evaluation of throat pain included a recorded exam and clinical history. Of these cases, we noted that the presence of cervical lymphadenopathy (OR = 2.69; 95% CI, 1.37–5.49), tonsillar findings (OR = 2.94; 95% CI, 1.4–6.57), increased white blood cell count (OR = 1.08; 95% CI, 1.02–1.15), and temperature (OR = 1.94; 95% CI, 1.1–3.6) were associated with increased likelihood of obtaining a diagnostic CT scan. ConclusionConsideration of tonsillar abnormalities, lymphadenopathy, body temperature, and measured leukocyte count prior to ordering CT scans of the neck for throat pain may increase the diagnostic yield of such exams and decrease CT utilization in the ED.