Detailed information gain and therapeutic impact of whole body computed tomography supplementary to conventional radiological diagnostics in blunt trauma emergency treatment: a consecutive trauma centre evaluation

Purpose The indication of whole body computed tomography (WBCT) in the emergency treatment of trauma is still under debate. We were interested in the detailed information gain obtained from WBCT following standardized conventional imaging (CI). Methods Prospective study including all emergency traum...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2022-04, Vol.48 (2), p.921-931
Main Authors: Magyar, Christian Tibor Josef, Maeder, Franziska, Diepers, Michael, Amsler, Felix, Gross, Thomas
Format: Article
Language:English
Subjects:
Critical Care Medicine
Emergency medical care
Emergency Medicine
Humans
Injury Severity Score
Intensive
Medical diagnosis
Medicine
Medicine & Public Health
Multiple Trauma
Original
Original Article
Patients
Prospective Studies
Retrospective Studies
Sports Medicine
Surgery
Surgical Orthopedics
Tomography
Tomography, X-Ray Computed - methods
Trauma
Trauma Centers
Traumatic Surgery
Whole Body Imaging - methods
Wounds, Nonpenetrating - diagnostic imaging
Wounds, Nonpenetrating - therapy
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Summary:Purpose The indication of whole body computed tomography (WBCT) in the emergency treatment of trauma is still under debate. We were interested in the detailed information gain obtained from WBCT following standardized conventional imaging (CI). Methods Prospective study including all emergency trauma centre patients examined by CI (focused assessment of sonography in trauma, chest and pelvic X-ray) followed by WBCT from 2011 to 2017. Radiology reports were compared per patient for defined body regions for number and severity of injuries (Abbreviated Injury Scale, AIS; Injury Severity Score, ISS), incidental findings and treatment consequences (Wilcoxon signed rank test, Spearman rho, Chi-square). Results 1271 trauma patients (ISS 11.3) were included in this study. WBCT detected more injury findings than CI in the equivalent body regions (1.8 vs. 0.6; p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-020-01502-1