Publication

Evaluation of a dual-room sliding gantry CT concept for workflow optimisation in polytrauma and regular in- and outpatient management

Journal Paper/Review - Nov 1, 2014

Units
PubMed
Doi

Citation
Frellesen C, Vogl T, Ackermann H, Wutzler S, Geiger E, Nau C, Lehnert T, Kerl J, Drieske M, Wichmann J, Boettcher M, Bauer R. Evaluation of a dual-room sliding gantry CT concept for workflow optimisation in polytrauma and regular in- and outpatient management. Eur J Radiol 2014; 84:117-22.
Type
Journal Paper/Review (English)
Journal
Eur J Radiol 2014; 84
Publication Date
Nov 1, 2014
Issn Electronic
1872-7727
Pages
117-22
Brief description/objective

OBJECTIVES
To reveal the impact on workflow from introducing a dual-room sliding gantry CT to the trauma room for polytrauma and regularly scheduled in- outpatients with regard to efficiency and degree of capacity utilisation.

MATERIALS AND METHODS
Time analysis was performed for 30 polytrauma patients each in 2 different trauma room settings, the new trauma room comprising a sliding gantry CT, the old one a stationary single-room CT. Complete trauma room and diagnostic workup times were manually measured and compared for both groups. In a third scenario, the number of CT scans performed with one single sliding gantry CT and the two-room concept was compared to the number of CT scans performed on two separate regular CT units in a 5 days clinical routine sample.

RESULTS
Patients demographics and type of CT examinations were comparable for all patient groups. The median time from patient arrival in the trauma room until beginning of CT scanning was 6 min shorter for the sliding gantry CT group (21 vs.15 min). Sliding gantry CT embedded in a two-room solution achieved 252 CT scans in 5 working days, compared to 250 CT scans on two separate regular CT units with the same man power.

CONCLUSIONS
Sliding gantry CT in the trauma room allows for significant time saving in the diagnostic workup of polytrauma patients and faster resumption of the regular in- outpatient's CT schedule is possible. With the same man power, the dual-room solution is able to generate the same throughput as two separate CT units.