Idioma:

Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients

Roberts, Gregory J ; Jacobson, Lewis E ; Amaral, Michelle M ; Jensen, Courtney D ; Cooke, Louis ; Schultz, Jacqueline F ; Kinstedt, Alexander J ; Saxe, Jonathan M

World journal of emergency surgery, 2020-01, Vol.15 (1), p.5-5, Article 5 [Periódico revisado por pares]

England: BioMed Central Ltd

Texto completo disponível

Citações Citado por

Enviar para

Título:
Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients
Autor: Roberts, Gregory J ; Jacobson, Lewis E ; Amaral, Michelle M ; Jensen, Courtney D ; Cooke, Louis ; Schultz, Jacqueline F ; Kinstedt, Alexander J ; Saxe, Jonathan M
Assuntos: Abdomen ; Asymptomatic ; Asymptomatic Diseases ; Blunt trauma ; CAT scans ; Computed tomography (CT) ; Contrast Media ; Diagnostic imaging ; Emergency medical services ; Female ; Glasgow Coma Scale ; Health aspects ; Humans ; Injuries ; Injury Severity Score ; Length of Stay - statistics & numerical data ; Male ; Medical examination ; Medical imaging ; Medical research ; Middle Aged ; Morbidity ; Mortality ; Occult injury ; Patients ; Pelvis ; Registries ; Retrospective Studies ; Technology ; Thoracic Injuries - diagnostic imaging ; Thoracic Injuries - mortality ; Tomography ; Tomography, X-Ray Computed ; Trauma ; Trauma Centers ; Wounds, Nonpenetrating - diagnostic imaging ; Wounds, Nonpenetrating - mortality
É parte de: World journal of emergency surgery, 2020-01, Vol.15 (1), p.5-5, Article 5
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: High morbidity and mortality rates of trauma injuries make early detection and correct diagnosis crucial for increasing patient's survival and quality of life after an injury. Improvements in technology have facilitated the rapid detection of injuries, especially with the use of computed tomography (CT). However, the increased use of CT imaging is not universally advocated for. Some advocate for the use of selective CT imaging, especially in cases where the severity of the injury is low. The purpose of this study is to review the CT indications, findings, and complications in patients with low Injury Severity Scores (ISS) to determine the utility of torso CT in this patient cohort. A retrospective review of non-intubated, adult blunt trauma patients with an initial GCS of 14 or 15 evaluated in an ACS verified level 1 trauma center from July 2012 to June 2015 was performed. Data was obtained from the hospital's trauma registry and chart review, with the following data included: age, sex, injury type, ISS, physical exam findings, all injuries recorded, injuries detected by torso CT, missed injuries, and complications. The statistical tests conducted in the analysis of the collected data were chi-squared, Fischer exact test, and ANOVA analysis. There were 2306 patients included in this study, with a mean ISS of 8. For patients with a normal chest exam that had a chest CT, 15% were found to have an occult chest injury. In patients with a negative chest exam and negative chest X-ray, 35% had occult injuries detected on chest CT. For patients with a negative abdominal exam and CT abdomen and pelvis, 16% were found to have an occult injury on CT. Lastly, 25% of patients with normal chest, abdomen, and pelvis exams with chest, abdomen, and pelvis CT scans demonstrated occult injuries. Asymptomatic patients with a negative CT had a length of stay 1 day less than patients without a corresponding CT. No incidents of contrast-induced complications were recorded. A negative physical exam combined with a normal chest X-ray does not rule out the presence of occult injuries and the need for torso imaging. In blunt trauma patients with normal sensorium, physical exam and chest X-ray, the practice of obtaining cross-sectional imaging appears beneficial by increasing the accuracy of total injury burden and decreasing the length of stay.
Editor: England: BioMed Central Ltd
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients

Roberts, Gregory J ; Jacobson, Lewis E ; Amaral, Michelle M ; Jensen, Courtney D ; Cooke, Louis ; Schultz, Jacqueline F ; Kinstedt, Alexander J ; Saxe, Jonathan M

England: BioMed Central Ltd

Buscando em bases de dados remotas. Favor aguardar.