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Indications for total-body computed tomography in blunt trauma patients: a systematic review

Published on Feb 1, 2017in European Journal of Trauma and Emergency Surgery1.78
· DOI :10.1007/s00068-016-0711-4
K. Treskes3
Estimated H-index: 3
(AMC: Academic Medical Center),
Teun Peter Saltzherr13
Estimated H-index: 13
(AMC: Academic Medical Center)
+ 2 AuthorsJ. C. Goslings6
Estimated H-index: 6
(AMC: Academic Medical Center)
Cite
Abstract
Purpose Total-body CT scanning (TBCT) could improve the initial in-hospital evaluation of severe trauma patients. Indications for TBCT, however, differ between trauma centers, so more insight in how to select patients that could benefit from TBCT is required. The aim of this review was to give an overview of currently used indications for total-body CT in trauma patients and to describe mortality and Injury Severity Scores of patient groups selected for TBCT.
  • References (34)
  • Citations (5)
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References34
Newest
Published on Apr 1, 2014in World Journal of Surgery2.77
Joanne C. Sierink9
Estimated H-index: 9
(AMC: Academic Medical Center),
Teun Peter Saltzherr13
Estimated H-index: 13
(AMC: Academic Medical Center)
+ 4 AuthorsJ. Carel Goslings24
Estimated H-index: 24
(AMC: Academic Medical Center)
Background In recent years computed tomography (CT) has become faster and more available in the acute trauma care setting. The aim of the present study was to compare injured patients who underwent immediate total-body CT (TBCT) scanning with patients who underwent the standard radiological work-up with respect to 30-day mortality.
Published on Dec 1, 2013in Emergency Radiology
Joanne C. Sierink9
Estimated H-index: 9
,
Teun Peter Saltzherr13
Estimated H-index: 13
+ 3 AuthorsJ. C. Goslings16
Estimated H-index: 16
Total-body CT (TBCT) scanning in trauma patients is being increasingly used in trauma assessment. One of the major disadvantages of CT scanning is the amount of radiation exposure involved. The aim of this study was to assess the number of radiological investigations and their associated radiation exposure in multitrauma patients before and after the introduction of a total-body CT protocol as a primary diagnostic tool. The Trauma Registry was used to identify trauma patients admitted to our Lev...
Published on Oct 1, 2013in Emergency Radiology
Anto Sedlic1
Estimated H-index: 1
(UBC: University of British Columbia),
Christina M. Chingkoe1
Estimated H-index: 1
(UBC: University of British Columbia)
+ 2 AuthorsSavvas Nicolaou27
Estimated H-index: 27
(UBC: University of British Columbia)
The purpose of this study is to determine whether a single acquisition whole-body trauma multi-detector CT scan is able to reduce resuscitation time, scan time, and effective radiation dose without compromising diagnostic quality in the setting of polytrauma. Retrospective analysis of 33 trauma patients undergoing single acquisition whole-body CT with injury severity scores of ≥16 was compared to 34 patients imaged with a segmented whole-body CT protocol. Time spent in the emergency department, ...
Published on Jul 24, 2013in PLOS ONE2.78
Stefan Huber-Wagner16
Estimated H-index: 16
(TUM: Technische Universität München),
P. Biberthaler27
Estimated H-index: 27
(TUM: Technische Universität München)
+ 6 AuthorsRolf Lefering52
Estimated H-index: 52
Background The current common and dogmatic opinion is that whole-body computed tomography (WBCT) should not be performed in major trauma patients in shock. We aimed to assess whether WBCT during trauma-room treatment has any effect on the mortality of severely injured patients in shock.
Published on Apr 1, 2013in Emergency Medicine Australasia1.50
Kai Hsun Hsiao1
Estimated H-index: 1
(RPA: Royal Prince Alfred Hospital),
Michael M Dinh12
Estimated H-index: 12
(RPA: Royal Prince Alfred Hospital)
+ 5 AuthorsKee Fung Chi2
Estimated H-index: 2
(RPA: Royal Prince Alfred Hospital)
Objective To describe the use of whole-body computed tomography (WBCT) at this Major Trauma Centre; to determine independent predictors of multi-region injury; and to evaluate the accuracy of the decision to perform WBCT in detecting multi-region injury. Methods A prospective cohort study was performed at a single Major Trauma Centre in New South Wales, Australia. All adult patients who triggered trauma team activation and required an initial CT scan were studied. Primary outcome was the presenc...
Published on Jan 1, 2013in Critical Care6.96
Daiki Wada5
Estimated H-index: 5
(Kansai Medical University),
Yasushi Nakamori16
Estimated H-index: 16
(Kansai Medical University)
+ 8 AuthorsToshimitsu Hamasaki29
Estimated H-index: 29
(Osaka University)
Introduction Whole-body computed tomography (CT) has gained importance in the early diagnostic phase of trauma care. However, the diagnostic value of CT for seriously injured patients is not thoroughly clarified. This study assessed whether preoperative CT beneficially affected survival of patients with blunt trauma who required emergency bleeding control.
Published on Aug 1, 2012in Emergency Medicine Journal2.31
Chris Smith16
Estimated H-index: 16
,
Suzanne Mason30
Estimated H-index: 30
Introduction Whole-body computed tomography (WBCT) is advocated for use in some trauma patients presenting to the emergency department (ED). It is unclear how widespread the use of WBCT is in the UK and the best way to select patients for WBCT remains controversial. The aim of this study was to investigate the current use and nature of WBCT policies in ED in the UK. Methods A postal questionnaire was devised and distributed to lead doctors of 245 ED in the UK in May 2010. Two further rounds of q...
Published on May 15, 2012in Canadian Medical Association Journal6.94
Dirk Stengel12
Estimated H-index: 12
,
Caspar Ottersbach4
Estimated H-index: 4
+ 9 AuthorsMatthias Frank9
Estimated H-index: 9
Background: Contrast-enhanced whole-body computed tomography (also called “pan-scanning”) is considered to be a conclusive diagnostic tool for major trauma. We sought to determine the accuracy of this method, focusing on the reliability of negative results. Methods: Between July 2006 and December 2008, a total of 982 patients with suspected severe injuries underwent single-pass pan-scanning at a metropolitan trauma centre. The findings of the scan were independently evaluated by two reviewers wh...
Published on May 1, 2012in Diagnostic and interventional imaging2.49
J. Babaud1
Estimated H-index: 1
,
C. Ridereau-Zins9
Estimated H-index: 9
+ 5 AuthorsC. Aubé26
Estimated H-index: 26
(University of Angers)
Abstract Objective To evaluate the use of the Vittel criteria in addition to a clinical examination to determine the need for a whole body scan (WBS) in a severe trauma patient. Materials and methods Between December 2008 and November 2009, 339 severe trauma patients with at least one Vittel criterion were prospectively evaluated with a WBS. The following data were collected: the Vittel criteria present, circumstances of the accident, traumatic injury on the WBS, and irradiation. The original in...
Cited By5
Newest
Published on Feb 1, 2019in World Journal of Surgery2.77
K. Treskes (UvA: University of Amsterdam), Teun Peter Saltzherr13
Estimated H-index: 13
+ 5 AuthorsJ. C. Goslings16
Estimated H-index: 16
(UvA: University of Amsterdam)
Background Immediate total-body CT (iTBCT) is often used for screening of potential severely injured patients. Patients requiring emergency bleeding control interventions benefit from fast and optimal trauma screening. The aim of this study was to assess whether an initial trauma assessment with iTBCT is associated with lower mortality in patients requiring emergency bleeding control interventions.
Published on Dec 1, 2018in World Journal of Surgery2.77
Yusuke Tsutsumi2
Estimated H-index: 2
(Kyoto University),
Shingo Fukuma8
Estimated H-index: 8
(Kyoto University)
+ 2 AuthorsShunichi Fukuhara55
Estimated H-index: 55
(Kyoto University)
Background Whole-body computed tomography (WBCT) is increasingly being incorporated into the initial management of blunt trauma patients. Several observational studies have suggested that, compared to selective CT, WBCT is associated with lower mortality. In contrast, a randomized controlled trial found no significant difference in survival between patients undergoing WBCT compared to selective CT. Our objective was to confirm the association between WBCT and in-hospital mortality among adult se...
Published on Nov 1, 2017in Current Opinion in Critical Care2.54
Stefan Huber-Wagner16
Estimated H-index: 16
,
Karl-Georg Kanz25
Estimated H-index: 25
+ 3 AuthorsRolf Lefering52
Estimated H-index: 52
Published on Jul 1, 2017in Trauma
Nicholas P Hare (University of Sheffield), Alistair W Macdonald (University of Sheffield)+ 3 AuthorsIan Sammy9
Estimated H-index: 9
(University of Sheffield)
IntroductionWhole body computerised tomography has become a standard of care for the investigation of major trauma patients. However, its use varies widely, and current clinical guidelines are not universally accepted. We undertook a systematic review of the literature to determine whether clinical guidelines for whole body computerised tomography in trauma increase its diagnostic accuracy.Materials and methodsA systematic review of Medline, Cinhal and the Cochrane database, supplemented by a ma...
Published on Apr 1, 2017in Journal of The American College of Radiology3.79
Jeffrey Y. Shyu6
Estimated H-index: 6
(Brigham and Women's Hospital),
Reza Askari11
Estimated H-index: 11
(Brigham and Women's Hospital),
Bharti Khurana12
Estimated H-index: 12
(Brigham and Women's Hospital)