Is whole-body trauma MDCT justified in patients in good clinical condition but with dangerous trauma mechanism?

2009
journal article
article
dc.abstract.enBackground: To assess whether whole body MDCT is justified in patients in good clinical condition yet with dangerous trauma mechanism. Material/Methods: The study included 81 patients who were examined between January and July 2008 with wholebody trauma CT protocol. Inclusion into the study was based on a dangerous trauma mechanism and the possibility of an unbiased calculation of the weighted revised trauma score (RTSw). All examinations were performed with 16 row MDCT scanner located in emergency department. The cut off of the RTSw over 6.0 was used to separate the patients in good clinical condition. The CT examinations and medical records of patients were reviewed to assess the number of significant injuries, the need for emergency surgery and other types of medical treatment, the number of negative CT examinations, the number of patients admitted to hospital, and mortality. Results: 28 life-threatening injuries were found in 21 of 61 patients with RTS over 6.0 (34.4%). Only two of those patients required emergency surgery (laparotomy). CT studies were negative for traumatic injuries in 22 patients from this group (36.0%). Conclusions: Whole-body MDCT may detect injuries in patients in good clinical condition, with some of them demanding medical treatment. Still, further studies are required to balance the advantages of MDCT and potentially harmful effects of radiation dose, especially better triage systems and lowdose protocols are needed.pl
dc.contributor.authorBlaz, Marcinpl
dc.contributor.authorPalczewski, Piotrpl
dc.contributor.authorGolebiowski, Marekpl
dc.contributor.authorSzeszkowski, Wojciechpl
dc.contributor.authorWisniewska, Malgorzatapl
dc.contributor.authorSwiatkowski, Janpl
dc.date.accession2018-10-24pl
dc.date.accessioned2018-10-24T14:41:33Z
dc.date.available2018-10-24T14:41:33Z
dc.date.issued2009pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 20pl
dc.description.number1pl
dc.description.physical16-20pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume74pl
dc.identifier.articleid878374pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/58631
dc.identifier.weblinkhttp://archiwum.polradiol.com/abstract/index/idArt/878374pl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enpolytraumapl
dc.subject.enwhole-body MDCTpl
dc.subject.enRevised Trauma Scorepl
dc.subtypeArticlepl
dc.titleIs whole-body trauma MDCT justified in patients in good clinical condition but with dangerous trauma mechanism?pl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: To assess whether whole body MDCT is justified in patients in good clinical condition yet with dangerous trauma mechanism. Material/Methods: The study included 81 patients who were examined between January and July 2008 with wholebody trauma CT protocol. Inclusion into the study was based on a dangerous trauma mechanism and the possibility of an unbiased calculation of the weighted revised trauma score (RTSw). All examinations were performed with 16 row MDCT scanner located in emergency department. The cut off of the RTSw over 6.0 was used to separate the patients in good clinical condition. The CT examinations and medical records of patients were reviewed to assess the number of significant injuries, the need for emergency surgery and other types of medical treatment, the number of negative CT examinations, the number of patients admitted to hospital, and mortality. Results: 28 life-threatening injuries were found in 21 of 61 patients with RTS over 6.0 (34.4%). Only two of those patients required emergency surgery (laparotomy). CT studies were negative for traumatic injuries in 22 patients from this group (36.0%). Conclusions: Whole-body MDCT may detect injuries in patients in good clinical condition, with some of them demanding medical treatment. Still, further studies are required to balance the advantages of MDCT and potentially harmful effects of radiation dose, especially better triage systems and lowdose protocols are needed.
dc.contributor.authorpl
Blaz, Marcin
dc.contributor.authorpl
Palczewski, Piotr
dc.contributor.authorpl
Golebiowski, Marek
dc.contributor.authorpl
Szeszkowski, Wojciech
dc.contributor.authorpl
Wisniewska, Malgorzata
dc.contributor.authorpl
Swiatkowski, Jan
dc.date.accessionpl
2018-10-24
dc.date.accessioned
2018-10-24T14:41:33Z
dc.date.available
2018-10-24T14:41:33Z
dc.date.issuedpl
2009
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 20
dc.description.numberpl
1
dc.description.physicalpl
16-20
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
74
dc.identifier.articleidpl
878374
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/58631
dc.identifier.weblinkpl
http://archiwum.polradiol.com/abstract/index/idArt/878374
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
polytrauma
dc.subject.enpl
whole-body MDCT
dc.subject.enpl
Revised Trauma Score
dc.subtypepl
Article
dc.titlepl
Is whole-body trauma MDCT justified in patients in good clinical condition but with dangerous trauma mechanism?
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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