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Radiation exposure has increased in trauma patients over time.

Published on Feb 1, 2012in Journal of Trauma-injury Infection and Critical Care
· DOI :10.1097/TA.0b013e31823c59ee
Kasra Ahmadinia1
Estimated H-index: 1
,
J. Smucker1
Estimated H-index: 1
+ 1 AuthorsHeather A. Vallier21
Estimated H-index: 21
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Abstract
Background:Computed tomography (CT) scans have become imaging modalities of choice in trauma centers. The purposes of this study were to evaluate the trend of radiation exposure in acute trauma patients. Our hypothesis was that radiation dosage and charges would increase over time without change in
  • References (28)
  • Citations (27)
Cite
References28
Newest
Deborah L Mueller9
Estimated H-index: 9
(University of Texas Health Science Center at San Antonio),
Mustapha R. Hatab13
Estimated H-index: 13
(University of Texas Health Science Center at San Antonio)
+ 7 AuthorsRonald M. Stewart26
Estimated H-index: 26
(University of Texas Health Science Center at San Antonio)
Background: Increased utilization of computed tomography (CT) scans for evaluation of blunt trauma patients has resulted in increased doses of radiation to patients. Radiation dose is relatively amplified in children secondary to body size, and children are more susceptible to long-term carcinogenic effects of radiation. Our aim was to measure radiation dose received in pediatric blunt trauma patients during initial CT evaluation and to determine whether doses exceed doses historically correlate...
Bridget A. Oppong1
Estimated H-index: 1
,
Kyle Lybrand1
Estimated H-index: 1
+ 1 AuthorsJulius D. Cheng14
Estimated H-index: 14
Published on Nov 1, 2010in European Journal of Radiology2.95
Shi-Ting Feng8
Estimated H-index: 8
(SYSU: Sun Yat-sen University),
Martin Law11
Estimated H-index: 11
(Queen Mary Hospital)
+ 4 AuthorsPl Khong42
Estimated H-index: 42
(HKU: University of Hong Kong)
Objective: To measure the radiation dose from CT scans in an anthropomorphic phantom using a 64-slice MDCT, and to estimate the associated cancer risk. Materials and methods: Organ doses were measured with a 5-year-old phantom and thermoluminescent dosimeters. Four protocols; head CT, thorax CT, abdomen CT and pelvis CT were studied. Cancer risks, in the form of lifetime attributable risk (LAR) of cancer incidence, were estimated by linear extrapolation using the organ radiation doses and the LA...
Oppong Ba1
Estimated H-index: 1
,
Lybrand K1
Estimated H-index: 1
+ 1 AuthorsJulius D. Cheng14
Estimated H-index: 14
Published on Oct 6, 2010in JAMA51.27
Frederick K. Korley14
Estimated H-index: 14
(Johns Hopkins University),
Julius Cuong Pham25
Estimated H-index: 25
(Johns Hopkins University),
Thomas D. Kirsch23
Estimated H-index: 23
(Johns Hopkins University)
[95% CI, 4.9%-6.9%] in 1998 and 5.5% [95% CI, 4.7%-6.5%] in 2007; P=.50 for trend) or to an intensive care unit (0.62% [95% CI, 0.40%-1.00%] in 1998 and 0.80% [95% CI, 0.53%-1.21%] in 2007; P=.14 for trend). Visits during which CT or MRI was obtained lasted 126 minutes (95% CI, 123-131 minutes) longer than those for which CT or MRI was not obtained.
Published on Aug 1, 2010in Annals of Emergency Medicine5.21
Joshua Broder13
Estimated H-index: 13
(Duke University),
Caroline L. Hollingsworth12
Estimated H-index: 12
(Duke University)
+ 2 AuthorsErik K. Paulson54
Estimated H-index: 54
(Duke University)
Study objective Computed tomography (CT) is increasingly used for emergency department (ED) patients with abdominal tenderness. CT-related radiation contributes to 2% of US cancers. We hypothesized that in the ED patient with nontraumatic abdominal tenderness, the tender region accurately delineates acute pathology. z axis–restricted CT guided by this region could detect pathology while reducing radiation dose. Methods This was a prospective double-blinded observational trial with informed conse...
Published on Jul 1, 2010in Radiographics3.92
Tara A. Morgan6
Estimated H-index: 6
(UMB: University of Maryland, Baltimore),
Scott D. Steenburg10
Estimated H-index: 10
(UMB: University of Maryland, Baltimore)
+ 1 AuthorsStuart E. Mirvis50
Estimated H-index: 50
(UMB: University of Maryland, Baltimore)
The management of acute traumatic aortic injuries is reviewed, and normal and abnormal findings seen at follow-up CT after both endovascular repair and surgical repair are described and illustrated.
Teun Peter Saltzherr13
Estimated H-index: 13
,
Ludo F. M. Beenen23
Estimated H-index: 23
+ 3 AuthorsJ. C. Goslings16
Estimated H-index: 16
Background: Conventional C-spine imaging (3-view series) is still widely used in trauma patients, although the utilization of computed tomography (CT) scanning is increasing. The aim of this study was to analyze the value of conventional radiography and the frequency of subsequent CT scanning due to incompleteness of three-view series of the C-spine in adult blunt trauma patients. Methods: We analyzed the data of a prospectively collected database including all patients between November 2005 and...
Published on Dec 14, 2009in JAMA Internal Medicine20.77
Rebecca Smith-Bindman40
Estimated H-index: 40
(UCSF: University of California, San Francisco),
Jafi A. Lipson14
Estimated H-index: 14
(UCSF: University of California, San Francisco)
+ 5 AuthorsDiana L. Miglioretti60
Estimated H-index: 60
(UW: University of Washington)
Background Use of computed tomography (CT) for diagnostic evaluation has increased dramatically over the past 2 decades. Even though CT is associated with substantially higher radiation exposure than conventional radiography, typical doses are not known. We sought to estimate the radiation dose associated with common CT studies in clinical practice and quantify the potential cancer risk associated with these examinations. Methods We conducted a retrospective cross-sectional study describing radi...
Cited By27
Newest
Published on Mar 22, 2018in European Journal of Trauma and Emergency Surgery1.78
Christian David Weber5
Estimated H-index: 5
(RWTH Aachen University),
Jana Kristina Schmitz (RWTH Aachen University)+ 4 AuthorsPhilipp Kobbe22
Estimated H-index: 22
(RWTH Aachen University)
Introduction The purpose of this study was to investigate the effects of alcohol intoxication in trauma patients in regard to its impact on application of computed tomography (CT) and associated radiation exposure.
C.K. Hansen3
Estimated H-index: 3
(ISMMS: Icahn School of Medicine at Mount Sinai),
Reuben J. Strayer5
Estimated H-index: 5
+ 3 AuthorsKaushal Shah16
Estimated H-index: 16
(ISMMS: Icahn School of Medicine at Mount Sinai)
Purpose The rise of computed tomography (CT) use in trauma has become the subject of concern given the harms of CT including radiation, cost, over diagnosis and identification of incidental lesions. We developed a novel metric, the Negative CT Score, (∑CT−) which quantifies how often CT imaging identifies important injuries. Our objective was to describe the pattern of CT utilization in trauma at an urban academic level one trauma center using this novel metric.
Michele Catapano1
Estimated H-index: 1
(University of Milan),
Domenico Albano9
Estimated H-index: 9
(University of Palermo)
+ 5 AuthorsLuca Maria Sconfienza22
Estimated H-index: 22
(University of Milan)
Abstract Introduction During night and on weekends, in our emergency department there is no radiologist on duty or on call: thus, X-ray examinations (XR) are evaluated by the orthopaedic surgeon on duty and reported the following morning/monday by radiologists. The aim of our study was to examine the discrepancy rate between orthopaedists and radiologists in the interpretation of imaging examinations performed on patients in our tertiary level orthopaedic institution and the consequences of dela...
Published on Dec 1, 2016in American Journal of Emergency Medicine1.65
Kerri A. Van Arnem1
Estimated H-index: 1
(San Antonio Military Medical Center),
David P. Supinski1
Estimated H-index: 1
(San Antonio Military Medical Center)
+ 1 AuthorsShawn M. Varney8
Estimated H-index: 8
(San Antonio Military Medical Center)
Abstract Background Trauma patients sustaining blunt injuries are exposed to multiple radiologic studies. Evidence indicates that the risk of cancer from exposure to ionizing radiation rises in direct proportion to the cumulative effective dose (CED) received. The purpose of this study is to quantify the amount of ionizing radiation accumulated when arriving directly from point of injury to San Antonio Military Medical Center (SAMMC), a level I trauma center, compared with those transferred from...
Fredrik Linder1
Estimated H-index: 1
(Uppsala University),
Kevin Mani18
Estimated H-index: 18
(Uppsala University)
+ 1 AuthorsHampus Eklöf7
Estimated H-index: 7
(Uppsala University)
Background Whole body computed tomography (WBCT) is an important adjunct in trauma care, which is often part of standard protocol in initial management of trauma patients. However, WBCT exposes patients to a significant dose of radiation. The use of WBCT was assessed in a modern trauma cohort in Sweden.
Published on Jun 1, 2016in Journal of Surgical Research1.87
Gregory E. Tong2
Estimated H-index: 2
(UCSF: University of California, San Francisco),
Kristan Staudenmayer18
Estimated H-index: 18
(Stanford University)
+ 1 AuthorsRenee Y. Hsia32
Estimated H-index: 32
(UCSF: University of California, San Francisco)
Abstract Background Advanced radiographic studies have detrimental risks, yet the prevalence of CT utilization in patients with minor trauma presenting to the emergency department (ED) has never been fully evaluated. Our objective was to evaluate the frequency of CT imaging in patients presenting to the ED for minor trauma. Materials and methods A retrospective analysis of the California Office of Statewide Health Planning and Development Emergency Department and Ambulatory Surgery Data from 200...
Published on Apr 1, 2016in Anaesthesia, critical care & pain medicine2.73
Jean Cotte7
Estimated H-index: 7
,
Fredrik Courjon1
Estimated H-index: 1
+ 8 AuthorsEric Kaiser5
Estimated H-index: 5
Abstract Aim Over-triage rates related to the use of Vittel criteria are unknown. We compared severe stable trauma patients with and without significant visceral injuries. Study design A single-centre retrospective analysis of a single-centre prospective cohort. Patients and methods Trauma patients with at least one positive Vittel criterion from June 2010 to January 2012 in a level-1 trauma centre. Initial management included a systematic whole-body scanner. All significant lesions in stable tr...
View next paperComputed Tomography — An Increasing Source of Radiation Exposure