Literature DB >> 14672766

The benefit of routine thoracic, abdominal, and pelvic computed tomography to evaluate trauma patients with closed head injuries.

Michael L Self1, Anna-Maria Blake, Macy Whitley, Leonard Nadalo, Ernest Dunn.   

Abstract

BACKGROUND: The evaluation of multitrauma patients for blunt truncal injuries remains open for debate. We sought to evaluate the role of routine computed tomography (CT) of the chest, abdomen, and pelvis as a screening tool for patients already undergoing cranial CT studies.
METHODS: Charts of blunt trauma patients admitted from June 2000 to June 2001 were reviewed for demographics, Glascow Coma Scale (GCS), physical and radiological findings, and length of stay.
RESULTS: Our study found that 38% of patients undergoing cranial CT scanning had a unexpected finding on body scans. Changes were made in 26% of the study group because results found on the adjuvant CTs.
CONCLUSIONS: Additional body CTs add minimal cost to the care of trauma patients but can significantly change the management. We believe it is beneficial to perform routine body CT examinations when performing cranial imaging for blunt head injury.

Entities:  

Mesh:

Year:  2003        PMID: 14672766     DOI: 10.1016/j.amjsurg.2003.08.003

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  22 in total

1.  Combined head and abdominal computed tomography for blunt trauma: which patients with minor head trauma benefit most?

Authors:  Sarah R Wu; Shamim Shakibai; John P McGahan; John R Richards
Journal:  Emerg Radiol       Date:  2006-08-30

2.  Torso computed tomography in blunt trauma patients with normal vital signs can be avoided using non-invasive tests and close clinical evaluation.

Authors:  Elisa Reitano; Laura Briani; Fabrizio Sammartano; Stefania Cimbanassi; Margherita Luperto; Angelo Vanzulli; Osvaldo Chiara
Journal:  Emerg Radiol       Date:  2019-08-24

3.  Routine versus selective chest and abdominopelvic CT-scan in conscious blunt trauma patients: a randomized controlled study.

Authors:  N Moussavi; H Ghani; A Davoodabadi; F Atoof; A Moravveji; S Saidfar; H Talari
Journal:  Eur J Trauma Emerg Surg       Date:  2017-09-25       Impact factor: 3.693

4.  Radiographic assessment of splenic injury without contrast: is contrast truly needed?

Authors:  Douglas R Murken; Joshua J Weis; Geoffrey C Hill; Louis H Alarcon; Matthew R Rosengart; Raquel M Forsythe; Gary T Marshall; Timothy R Billiar; Andrew B Peitzman; Jason L Sperry
Journal:  Surgery       Date:  2012-08-31       Impact factor: 3.982

5.  Prevalence of negative CT scans in a level one trauma center.

Authors:  C K Hansen; R J Strayer; B D Shy; S Kessler; S Givre; K H Shah
Journal:  Eur J Trauma Emerg Surg       Date:  2016-11-19       Impact factor: 3.693

Review 6.  Selective computed tomography (CT) versus routine thoracoabdominal CT for high-energy blunt-trauma patients.

Authors:  Raoul Van Vugt; Frederik Keus; Digna Kool; Jaap Deunk; Michael Edwards
Journal:  Cochrane Database Syst Rev       Date:  2013-12-23

7.  Evidence-based guidelines are equivalent to a liberal computed tomography scan protocol for initial patient evaluation but are associated with decreased computed tomography scan use, cost, and radiation exposure.

Authors:  Eric Mahoney; Suresh Agarwal; Baojun Li; Tracey Dechert; John Abbensetts; Andrew Glantz; Alan Sherburne; Dinesh Kurian; Peter Burke
Journal:  J Trauma Acute Care Surg       Date:  2012-09       Impact factor: 3.313

8.  Impact of whole-body computed tomography on mortality and surgical management of severe blunt trauma.

Authors:  Jean-Michel Yeguiayan; Anabelle Yap; Marc Freysz; Delphine Garrigue; Claude Jacquot; Claude Martin; Christine Binquet; Bruno Riou; Claire Bonithon-Kopp
Journal:  Crit Care       Date:  2012-06-11       Impact factor: 9.097

9.  Blunt abdominal trauma patients are at very low risk for intra-abdominal injury after emergency department observation.

Authors:  John L Kendall; Andrew M Kestler; Kurt T Whitaker; Mette-Margrethe Adkisson; Jason S Haukoos
Journal:  West J Emerg Med       Date:  2011-11

10.  Radiologic diagnostic procedures in severely injured patients - is only whole-body multislice computed tomography the answer?

Authors:  Tobias Topp; Rolf Lefering; Caroline L Lopez; Steffen Ruchholtz; Wolfgang Ertel; Christian A Kühne
Journal:  Int J Emerg Med       Date:  2015-02-28
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