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Dedicated MRI in the emergency department to expedite diagnostic management of hip fracture

  • Holly Gil
  • Ashley A. Tuttle
  • Laura A. Dean
  • David A. Johnson
  • David Portelli
  • Janette Baird
  • Neha P. RaukarEmail author
Original Article
First Online:
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Abstract

Purpose

To determine the effect on time to diagnosis of making MRI imaging for hip fractures available directly in the emergency department (ED).

Methods

We conducted a retrospective observational study of patients with MRI imaging of the hip for suspected occult fracture, comparing time to diagnosis and time to disposition of populations imaged in the year preceding and the year following installation of an MRI scanner in the ED.

Results

Time to diagnosis of hip fractures was 709 min before installation of a dedicated ED MRI scanner and 280 min after, a 60% reduction. Including the MRI in the diagnostic workup did not increase ED throughput time, and we were able to save 48% of the patients who had an ED-based MRI from an admission to the hospital.

Conclusion

Implementation of an MRI scanner for dedicated emergency department use enables faster hip fracture diagnosis and surgical consultation, or definitive disposition without increasing ED throughput time.

Keywords

MRI Emergency Hip fracture Triage 
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Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© American Society of Emergency Radiology 2019

Authors and Affiliations

  1. 1.Department of RadiologyBrown UniversityProvidenceUSA
  2. 2.Alpert Medical School of Brown UniversityProvidenceUSA
  3. 3.Department of Emergency MedicineBrown UniversityProvidenceUSA
  4. 4.Department of Emergency MedicineMayo ClinicRochesterUSA

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