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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: Results of a prospective study
Archives of Surgery, Volume 141, No. 5, Year 2006
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Description
Hypothesis: The use of liberal whole body imaging (pan scan) in patients based on mechanism is warranted, even in evaluable patients with no obvious signs of chest or abdominal injury. Design: Prospective observational study. Setting: Academic level I trauma center. Patients: All patients admitted following blunt multisystem trauma. Intervention: Pan scan, including computed tomography (CT) of the head, cervical spine, chest, abdomen, and pelvis, with the following inclusion criteria: (1) no visible evidence of chest or abdominal injury, (2) hemodynamically stable, (3) normal abdominal examination results in a neurologically intact patient or unevaluable abdominal examination results secondary to a depressed level of consciousness, and (4) significant mechanisms of injury. Radiological findings and changes in treatment based on these findings were recorded. Main Outcome Measure: Any alteration in the normal treatment plan as a direct result of CT scan findings. These alterations include early hospital discharge, admission for observation, operative intervention, and additional diagnostic studies or interventions. Results: One thousand patients underwent pan scan during the 18-month observation period, of which 592 were evaluable patients with no obvious signs of abdominal injury. Clinically significant abnormalities were found in 3.5% of head CT scans, 5.1% of cervical spine CT scans, 19.6% of chest CT scans, and 7.1% of abdominal CT scans. Overall treatment was changed in 18.9% of patients based on abnormal CT scan findings. Conclusions: The use of pan scan based on mechanism in awake, evaluable patients is warranted. Clinically significant abnormalities are not uncommon, resulting in a change in treatment in nearly 19% of patients. ©2006 American Medical Association. All rights reserved.
Authors & Co-Authors
Demetriades, Demetrios G.
United States, Los Angeles
Los Angeles County Usc Medical Center
Statistics
Citations: 294
Authors: 1
Affiliations: 1
Identifiers
Doi:
10.1001/archsurg.141.5.468
ISSN:
15383644
Research Areas
Health System And Policy
Violence And Injury
Study Design
Randomised Control Trial
Cohort Study