Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: Results of a prospective study

Archives of Surgery

Volumn 141, Issue 5, 2006, Pages 468-475

  Salim, Ali ^a,c   Sangthong, Burapat ^a   Martin, Matthew ^a   Brown, Carlos ^a   Plurad, David ^a   Demetriades, Demetrios ^a   Tyburski, James G ^b   Hughes, Tyler ^b   Marshall, J Stephen ^b   Brasel, Karen J ^b   Jamison, Richard L ^b   Grube, Baiba J ^b  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Los Angeles County and University of Southern California Medical Center ^*

^c LAC USC MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ABDOMINAL RADIOGRAPHY; ADULT; ARTICLE; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC PROCEDURE; FEMALE; HEAD INJURY; HEMODYNAMICS; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INTESTINE INJURY; KIDNEY INJURY; LAPAROTOMY; LIVER INJURY; MAJOR CLINICAL STUDY; MALE; PELVIS RADIOGRAPHY; PRIORITY JOURNAL; SPLEEN INJURY; SURGICAL TECHNIQUE; THORAX BLUNT TRAUMA; THORAX RADIOGRAPHY; TREATMENT PLANNING;

ADULT; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; MALE; MULTIPLE TRAUMA; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA SEVERITY INDICES; WHOLE BODY IMAGING; WOUNDS, NONPENETRATING;

EID: 33646597279     PISSN: 00040010     EISSN: 15383644     Source Type: Journal    
DOI: 10.1001/archsurg.141.5.468     Document Type: Article

References (38)

1. Rizzo AG, Steinberg SM, Flint LM. Prospective assessment of the value of computed tomography for trauma. J Trauma. 1995;38:338-343.
2. Soto JA, Lucey BC, Stuhlfaut JW, Varghese JC. Use of 3D imaging in CT of the acute trauma patient: impact of the PACS-based software package. Emerg Radiol. 2005;11:173-176.
3. Gralla J, Spycher F, Pignolet C, et al. Evaluation of a 16-MDCT scanner in an emergency department: initial clinical experience and workflow analysis. AJR Am J Roentgenol. 2005;185:232-238.
4. Exadaktylos AK, Sclabas G, Schmid SW, et al. Do we really need routine computed tomographic scanning in the primary evaluation of blunt chest trauma in patients with "normal" chest radiograph? J Trauma. 2001;51:1173-1176.
5. Brown CVR, Antevil JL, Sise M, Sack DI. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma. 2005;58:890-896.
6. Rhee PM, Bridgeman A, Acosta JA, et al. Lumbar fractures in adult blunt trauma patients: axial and single-slice helical abdominal and pelvic computed tomographic scans versus portable plain films. J Trauma. 2002;53:663-667.
7. Guillamondegui OD, Pryor JP, Gracias VH, et al. Pelvic radiography in blunt trauma resuscitation: a diminishing role. J Trauma. 2002;53:1043-1047.
8. Jindal A, Velmahos GC, Rofougaran R. Computed tomography for evaluation of mild to moderate pediatric trauma: are we overusing it? World J Surg. 2002;26:13-16.
9. Kalra MK, Maher MM, Rizzo S, et al. Radiation exposure from chest CT: Issues and strategies. J Korean Med Sci. 2004;19:159-166.
10. Hayward R. VOMIT (victims of modern imaging technology) - an acronym for our times. BMJ. 2003;326:1273.
11. Grieshop NA, Jacobson LE, Gomez GA, et al. Selective use of computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma. J Trauma. 1995;38:727-731.
12. Richards JR, Derlet RW. Computed tomography for blunt abdominal trauma in the ED: a prospective study. Am J Emerg Med. 1998;16:338-342.
13. Bode PJ, Edwards MJ, Kruit MC, van Vugt AB. Sonography in a clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. AJR Am J Roentgenol. 1999;172:905-911.
14. Sahdev P, Garramone RR, Schwartz RJ, et al. Evaluation of liver function tests in screening for intra-abdominal injuries. Ann Emerg Med. 1991;20:838-841.
15. Self ML, Blake AM, Whitley M, et al. The benefit of routine thoracic, abdominal, and pelvic computed tomography to evaluate trauma patients with closed head injury. Am J Surg. 2003;186:609-614.
16. Pal JD, Victorino GP. Defining the role of computed tomography in blunt abdominal trauma. Arch Surg. 2002;137:1029-1033.
17. Poletti PA, Mirvis SE, Shanmuganathan K, et al. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography? J Trauma. 2004;57:1072-1081.
18. Schurink GW, Bode PJ, van Luijt PA, van Vugt AB. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury. 1997;28:261-265.
19. Rodriguez A, Dupriest RW, Shatney CH. Recognition of intra-abdominal injury in blunt trauma victims: a prospective study comparing physical examination with peritoneal lavage. Am Surg. 1982;48:457-459.
20. Bivins BA, Zona JZ, Belin RP. Diagnostic peritoneal lavage in pediatric trauma. J Trauma. 1976;16:739-742.
21. Mackersie RC, Tiwary AD, Shackford SR, Hoyt DB. Intra-abdominal injury following blunt trauma: identifying the high-risk patient using objective risk factors. Arch Surg. 1989;124:809-813.
22. Ferrera PC, Verdile VP, Bartfield JM, et al. Injuries distracting from intraabdominal injuries after blunt trauma. Am J Emerg Med. 1998;16:145-149.
23. Livingston DH, Lavery RF, Passannante M, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional study. J Trauma. 1998;44:273-282.
24. Livingston DH, Lavery RF, Passannante M, et al. Emergency department discharge of patients with a negative cranial computed tomography scan after minimal head injury. Ann Surg. 2000;232:126-132.
25. Demetriades D, Gomez H, Velmahos GC, et al. Routine helical computed tomographic evaluation of the mediastinum in high-risk blunt trauma patients. Arch Surg. 1998;133:1084-1088.
26. Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma. 2003;55:222-227.
27. Blacksin MF, Lee HG. Frequency and significance of fractures of the upper cervical spine detected by CT in patients with severe neck trauma. AJR Am J Roentgenol. 1995;165:1201-1204.
28. Gestring ML, Gracias VH, Feliciano MA, et al. Evaluation of the lower spine after blunt trauma using abdominal computed tomographic scanning supplemented with lateral scanograms. J Trauma. 2002;53:9-14.
29. Hauser CJ, Visvikis G, Hinrichs C, et al. Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. J Trauma. 2003;55:228-235.
30. Hadley J. Overutilization of imaging in the acute trauma setting. Abstract presented at: 2004 Annual Meeting of the Radiologic Society of North America; November 29, 2004; Chicago, Ill.
31. Shrimpton PC, Wall BF. CT - an increasingly important slice of the medical exposure of patients. Br J Radiol. 1993;66:1067-1068.
32. Brenner DJ, Elliston CD. Estimated radiation risks potentially associated with fullbody CT screening. Radiology. 2004;232:735-738.
33. Beaver BL, Colombani PM, Fishman E, et al. The efficacy of computed tomography in evaluating abdominal injuries in children with major head trauma. J Pediatr Surg. 1987;22:1117-1122.
34. Gonzalez RP, Dziurzynski K, Maunu M. Emergent extra-abdominal trauma surgery: is abdominal screening necessary. J Trauma. 2000;49:195-204.
35. Fried AM, Humphries R, Schofield CN. Abdominal CT scans in patients with blunt trauma: low yield in the absence of clinical findings. J Comput Assist Tomogr. 1992;16:717-721.
36. Fakhry SM, Brownstein MR, Watts DD, et al. Relatively short diagnostic delays (< 8 hours) produce morbidity and mortality in blunt small bowel injury (SBI): an analysis of time to operative intervention in 198 patients from a multi-center experience. J Trauma. 2000;48:408-415.
37. Fakhry SM, Watts DD, Luchette FA. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma. 2003;54:295-306.
38. Malhotra AK, Fabian TC, Katsis SB, et al. Blunt bowel and mesenteric injuries: the role of screening computed tomography. J Trauma. 2000;48:991-998.