AIM: To compare the reported injuries on initial assessment of the chest X-ray (CXR) in thoracic trauma patients to a second read performed by a dedicated trauma radiologist. METHODS: By retrospective analysis of a prospective database, 712 patients with an injury to the chest admitted to the University Medical Center Utrecht were studied. All patients with a CXR were included in the study. Every CXR was re-evaluated by a trauma radiologist, who was blinded for the initial results. The findings of the trauma radiologist regarding rib fractures, pneumothoraces, hemothoraces and lung contusions were compared with the initial reports from the trauma team, derived from the original patient files. RESULTS: A total of 516 patients with both thorax trauma and an initial CXR were included in the study. After re-evaluation of the initial CXR significantly more lung contusions (53.3% vs 34.1%, P < 0.001), hemothoraces (17.8% vs 11.0%, P < 0.001) and pneumothoraces (34.4% vs 26.4%, P < 0.001) were detected. During initial assessment significantly more rib fractures were reported (69.8% vs 62.3%, P < 0.001). CONCLUSION: During the initial assessment of a CXR from trauma patients in the emergency department, a significant number of treatment-dictating injuries are missed. More awareness for these specific injuries is needed.
AIM: To compare the reported injuries on initial assessment of the chest X-ray (CXR) in thoracic traumapatients to a second read performed by a dedicated trauma radiologist. METHODS: By retrospective analysis of a prospective database, 712 patients with an injury to the chest admitted to the University Medical Center Utrecht were studied. All patients with a CXR were included in the study. Every CXR was re-evaluated by a trauma radiologist, who was blinded for the initial results. The findings of the trauma radiologist regarding rib fractures, pneumothoraces, hemothoraces and lung contusions were compared with the initial reports from the trauma team, derived from the original patient files. RESULTS: A total of 516 patients with both thorax trauma and an initial CXR were included in the study. After re-evaluation of the initial CXR significantly more lung contusions (53.3% vs 34.1%, P < 0.001), hemothoraces (17.8% vs 11.0%, P < 0.001) and pneumothoraces (34.4% vs 26.4%, P < 0.001) were detected. During initial assessment significantly more rib fractures were reported (69.8% vs 62.3%, P < 0.001). CONCLUSION: During the initial assessment of a CXR from traumapatients in the emergency department, a significant number of treatment-dictating injuries are missed. More awareness for these specific injuries is needed.
Authors: Zsolt Szucs-Farkas; Katrin Lautenschlager; Patricia M Flach; Daniel Ott; Tamara Strautz; Peter Vock; Thomas D Ruder Journal: Eur J Radiol Date: 2010-02-19 Impact factor: 3.528
Authors: John B Kortbeek; Saud A Al Turki; Jameel Ali; Jill A Antoine; Bertil Bouillon; Karen Brasel; Fred Brenneman; Peter R Brink; Karim Brohi; David Burris; Reginald A Burton; Will Chapleau; Wiliam Cioffi; Francisco De Salles Collet e Silva; Art Cooper; Jaime A Cortes; Vagn Eskesen; John Fildes; Subash Gautam; Russell L Gruen; Ron Gross; K S Hansen; Walter Henny; Michael J Hollands; Richard C Hunt; Jose M Jover Navalon; Christoph R Kaufmann; Peggy Knudson; Amy Koestner; Roman Kosir; Claus Falck Larsen; West Livaudais; Fred Luchette; Patrizio Mao; John H McVicker; Jay Wayne Meredith; Charles Mock; Newton Djin Mori; Charles Morrow; Steven N Parks; Pedro Moniz Pereira; Renato Sergio Pogetti; Jesper Ravn; Peter Rhee; Jeffrey P Salomone; Inger B Schipper; Patrick Schoettker; Martin A Schreiber; R Stephen Smith; Lars Bo Svendsen; Wa'el Taha; Mary van Wijngaarden-Stephens; Endre Varga; Eric J Voiglio; Daryl Williams; Robert J Winchell; Robert Winter Journal: J Trauma Date: 2008-06
Authors: Cristobal Barrios; Tuan Tran; Darren Malinoski; Michael Lekawa; Matthew Dolich; Stephanie Lush; David Hoyt; Marianne E Cinat Journal: Am Surg Date: 2008-10 Impact factor: 0.688
Authors: David Plurad; Mathew Martin; Donald Green; Ali Salim; Kenji Inaba; Howard Belzberg; Demetrios Demetriades; Peter Rhee Journal: J Trauma Date: 2007-07
Authors: Jacqueline Jem van Laarhoven; Steven Ferree; R Marijn Houwert; Falco Hietbrink; Egbertjan Mm Verleisdonk; Luke Ph Leenen Journal: World J Emerg Surg Date: 2013-09-22 Impact factor: 5.469
Authors: Steven Ferree; Jacqueline Jem van Laarhoven; R Marijn Houwert; Falco Hietbrink; Egbert Jan Mm Verleisdonk; Luke Ph Leenen Journal: J Trauma Manag Outcomes Date: 2014-11-27
Authors: Katharina Hellbach; Andrea Baehr; Fabio De Marco; Konstantin Willer; Lukas B Gromann; Julia Herzen; Michaela Dmochewitz; Sigrid Auweter; Alexander A Fingerle; Peter B Noël; Ernst J Rummeny; Andre Yaroshenko; Hanns-Ingo Maack; Thomas Pralow; Hendrik van der Heijden; Nataly Wieberneit; Roland Proksa; Thomas Koehler; Karsten Rindt; Tobias J Schroeter; Juergen Mohr; Fabian Bamberg; Birgit Ertl-Wagner; Franz Pfeiffer; Maximilian F Reiser Journal: Sci Rep Date: 2018-02-08 Impact factor: 4.379