Jagiellonian University Repository

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

pcg.skipToMenu

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

Show full item record

dc.contributor.author Blaz, Marcin pl
dc.contributor.author Palczewski, Piotr pl
dc.contributor.author Golebiowski, Marek pl
dc.contributor.author Szeszkowski, Wojciech pl
dc.contributor.author Wisniewska, Malgorzata pl
dc.contributor.author Swiatkowski, Jan pl
dc.date.accessioned 2018-10-24T14:41:33Z
dc.date.available 2018-10-24T14:41:33Z
dc.date.issued 2009 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/58631
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Is whole-body trauma MDCT justified in patients in good clinical condition but with dangerous trauma mechanism? pl
dc.type JournalArticle pl
dc.description.physical 16-20 pl
dc.description.additional Bibliogr. s. 20 pl
dc.identifier.weblink http://archiwum.polradiol.com/abstract/index/idArt/878374 pl
dc.abstract.en 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. pl
dc.subject.en polytrauma pl
dc.subject.en whole-body MDCT pl
dc.subject.en Revised Trauma Score pl
dc.description.volume 74 pl
dc.description.number 1 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.date.accession 2018-10-24 pl
dc.subtype Article pl
dc.identifier.articleid 878374 pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl


Files in this item

This item appears in the following Collection(s)

Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa