Assessment Of Computed Tomography Referrals (A Case Study Of University Of Nigeria Teaching Hospital Ituku-Ozalla, Enugu)

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Assessment Of Computed Tomography Referrals (A Case Study Of University Of Nigeria Teaching Hospital Ituku-Ozalla, Enugu)

Introduction

Despite its clinical application, computed tomography scan is not readily available in developing countries, like Nigeria. Some patients who require CT examination are either managed blindly, or do not present for it at the appropriate time. This study assesses the referral pattern, indications and results of CT referrals, as they are obtained in University of Nigeria Teaching hospital Ituku/Ozalla, Enugu. Retrospectively recorded data of all patients who presented for CT scan between May 2011- April 2012 at UNTH, Enugu were analysed. A total of 726 CT scans studied, were made up of 416 males (57.30%) and 310 females (42.70%). Majority of the patients were within the age range of 21-30 years representing 15.30% of all referrals. 29.01% (211) of all CT scans were referred from accident and emergency unit, followed by surgical out-patient department 11.98%.Analysis of the clinical indications showed trauma and RTA to be the commonest indication for brain CT referrals 21.81%, abdominal neoplasm/metastasis for abdominal pelvic CT scan 24.48%, respiratory difficulty for chest CT 25%, suspected cervical fracture for neck CT scan 38.09% and spondylosis for spine CT 61.54%. Analysis of the CT diagnosis showed cerebral atrophy to be the commonest result for brain CT referral 12.48%, hepatic disorder for abdominopelvic 12.58%, laryngeal cancer for neck CT 24%, PTB for chest CT scan 21.48% and spondylosis for spine CT 29.41%. Out of the 726 CT scan studied, 228 (31.40%) had normal findings while 498(68.60%) had abnormal findings. CT had made substantial impact on patient care, though the study showed a relatively poor referral rate to CT examination. The study recommends proper sensitization of health personnel on the wide clinical applications of CT and improved health care insurance scheme to ensure better access to modern diagnostic tools by patients.

Title Page

Certification/Declaration

Approval Page

Dedication

Acknowledgement

Abstract

Table of content

 

Chapter 1

Introduction

1:1 Introduction

1:2 Background of the Study

1:3 Statements of Problems

1:4 Objectives of the Study

1:5 Research Question

1:6 Study of the Hypothesis

1:7 Significance of the Study

1:8 Justification of the Study

1:9 Scope of the Study

1:10 Definition of Terms

 

Chapter 2

Literature Review

2:0 Introduction

2:1 Conceptual Clarification

2:2 Theoretical Framework

2:3 Literatures on the Subject Matter

 

Chapter 3

Research Methodology

3:0 Area of Study

3:1 Source of Data

3:2 Sampling Techniques

3:3 Method Data Collection

3:4 Method of Data Analysis

3:5 Reliability of Instrument

3:6 Validity of Instrument

3:7 Limitations of the Study

 

Chapter 4

Data Analysis

4:0 Introduction

4:1 Finding of the Study

4:2 Discussion of the Study

4:3 Summary

 

Chapter 5

Summary, Conclusion and Recommendation

5:0 Summary of Findings

5:1 Conclusion

5:2 Recommendations

5:3 Proposal for Further Studies

 

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