Clinical Prediction Rules for Identifying Adults at Very Low Risk for Intra-abdominal Injuries After Blunt Trauma

Annals of Emergency Medicine

Volumn 54, Issue 4, 2009, Pages 575-584

  Holmes, James F ^a   Wisner, David H ^a   McGahan, John P ^a   Mower, William R ^b   Kuppermann, Nathan ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ABDOMINAL TENDERNESS; ADULT; AGED; ARTICLE; ARTIFICIAL EMBOLISM; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FEMUR FRACTURE; GLASGOW COMA SCALE; HEMATOCRIT; HEMATURIA; HUMAN; HYPOTENSION; LAPAROTOMY; MAJOR CLINICAL STUDY; MALE; PNEUMOTHORAX; PREDICTION; PREDICTOR VARIABLE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RIB FRACTURE; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; THORAX RADIOGRAPHY; VALIDATION STUDY;

ABDOMINAL INJURIES; ADOLESCENT; ADULT; CRITICAL PATHWAYS; DECISION SUPPORT TECHNIQUES; EMERGENCY SERVICE, HOSPITAL; FEMALE; GLASGOW COMA SCALE; HEMATOCRIT; HEMATURIA; HIP FRACTURES; HUMANS; MALE; MIDDLE AGED; PNEUMOTHORAX; PROSPECTIVE STUDIES; RIB FRACTURES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 70349091037     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2009.04.007     Document Type: Article

References (55)

1. Minino A.M., Heron M.P., Murphy S.L., et al. Deaths: final data for 2004. Natl Vital Stat Rep. 55 (2007) 1-119
2. Perez F.G., O'Malley K.F., and Ross S.E. Evaluation of the abdomen in intoxicated patients: is computed tomography scan or peritoneal lavage always indicated?. Ann Emerg Med. 20 (1991) 500-502
3. Poletti P.A., Mirvis S.E., Shanmuganathan K., et al. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography?. J Trauma 57 (2004) 1072-1081
4. Rodriguez A., DuPriest Jr. R.W., and Shatney C.H. Recognition of intra-abdominal injury in blunt trauma victims. A prospective study comparing physical examination with peritoneal lavage. Am Surg. 48 (1982) 457-459
5. Schurink G.W., Bode P.J., van Luijt P.A., et al. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury 28 (1997) 261-265
6. Salim A., Sangthong B., Martin M., et al. Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arch Surg. 141 (2006) 468-473 discussion 473-475
7. Griffin X.L., and Pullinger R. Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigations for hemodynamically stable patients after blunt abdominal trauma?. A review of the literature. J Trauma 62 (2007) 779-784
8. Heilbrun M.E., Chew F.S., Tansavatdi K.R., et al. The role of negative CT of the abdomen and pelvis in the decision to admit adults from the emergency department after blunt trauma. J Am Coll Radiol. 2 (2005) 889-895
9. Holmes J.F., Harris D., and Battistella F.D. Performance of abdominal ultrasonography in blunt trauma patients with out-of-hospital or emergency department hypotension. Ann Emerg Med. 43 (2004) 354-361
10. Richards J.R., and Derlet R.W. Computed tomography and blunt abdominal injury: patient selection based on examination, haematocrit and haematuria. Injury 28 (1997) 181-185
11. Stuhlfaut J.W., Anderson S.W., and Soto J.A. Blunt abdominal trauma: current imaging techniques and CT findings in patients with solid organ, bowel, and mesenteric injury. Semin Ultrasound CT MR 28 (2007) 115-129
12. Jhirad R., and Boone D. Computed tomography for evaluating blunt abdominal trauma in the low-volume nondesignated trauma center: the procedure of choice?. J Trauma 45 (1998) 64-68
13. Miller L.A., and Shanmuganathan K. Multidetector CT evaluation of abdominal trauma. Radiol Clin North Am. 43 (2005) 1079-1095 viii
14. Garber B.G., Bigelow E., Yelle J.D., et al. Use of abdominal computed tomography in blunt trauma: do we scan too much?. Can J Surg. 43 (2000) 16-21
15. Brenner D., Elliston C., Hall E., et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol. 176 (2001) 289-296
16. Brenner D.J., and Elliston C.D. Estimated radiation risks potentially associated with full-body CT screening. Radiology 232 (2004) 735-738
17. Prokop M. Cancer screening with CT: dose controversy. Eur Radiol. 15 suppl 4 (2005) D55-D61
18. Brenner D.J., and Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med. 357 (2007) 2277-2284
19. Haydel M.J., Preston C.A., Mills T.J., et al. Indications for computed tomography in patients with minor head injury. N Engl J Med. 343 (2000) 100-105
20. Hoffman J.R., Mower W.R., Wolfson A.B., et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med. 343 (2000) 94-99
21. Mower W.R., Hoffman J.R., Herbert M., et al. Developing a decision instrument to guide computed tomographic imaging of blunt head injury patients. J Trauma 59 (2005) 954-959
22. Stiell I.G., Wells G.A., Vandemheen K., et al. The Canadian CT Head Rule for patients with minor head injury. Lancet 357 (2001) 1391-1396
23. Stiell I.G., Wells G.A., Vandemheen K.L., et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA 286 (2001) 1841-1848
24. Grieshop N.A., Jacobson L.E., Gomez G.A., et al. Selective use of computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma. J Trauma 38 (1995) 727-731
25. Mackersie R.C., Tiwary A.D., Shackford S.R., et al. Intra-abdominal injury following blunt trauma. Identifying the high-risk patient using objective risk factors. Arch Surg. 124 (1989) 809-813
26. Catre M.G. Diagnostic peritoneal lavage versus abdominal computed tomography in blunt abdominal trauma: a review of prospective studies. Can J Surg. 38 (1995) 117-122
27. Mele T.S., Stewart K., Marokus B., et al. Evaluation of a diagnostic protocol using screening diagnostic peritoneal lavage with selective use of abdominal computed tomography in blunt abdominal trauma. J Trauma 46 (1999) 847-852
28. Landis J.R., and Koch G.G. The measurement of observer agreement for categorical data. Biometrics 33 (1977) 159-174
29. Brieman L., Friedman J.H., and Olshen R.A. Classification and Regression Trees (1984), Chapman & Hall, Washington, DC
30. Stiell I.G., and Wells G.A. Methodologic standards for the development of clinical decision rules in emergency medicine. Ann Emerg Med. 33 (1999) 437-447
31. Adili A., Bhandari M., Lachowski R.J., et al. Organ injuries associated with femoral fractures: implications for severity of injury in motor vehicle collisions. J Trauma 46 (1999) 386-391
32. Demetriades D., Karaiskakis M., Toutouzas K., et al. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg. 195 (2002) 1-10
33. Ferrera P.C., Verdile V.P., Bartfield J.M., et al. Injuries distracting from intraabdominal injuries after blunt trauma. Am J Emerg Med. 16 (1998) 145-149
34. Holmes J.F., Ngyuen H., Jacoby R.C., et al. Do all patients with left costal margin injuries require radiographic evaluation for intraabdominal injury?. Ann Emerg Med. 46 (2005) 232-236
35. Holmes J.F., Sokolove P.E., Brant W.E., et al. Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Med. 39 (2002) 500-509
36. Reiff D.A., McGwin Jr. G., Metzger J., et al. Identifying injuries and motor vehicle collision characteristics that together are suggestive of diaphragmatic rupture. J Trauma 53 (2002) 1139-1145
37. Shweiki E., Klena J., Wood G.C., et al. Assessing the true risk of abdominal solid organ injury in hospitalized rib fracture patients. J Trauma 50 (2001) 684-688
38. Velmahos G.C., Tatevossian R., and Demetriades D. The "seat belt mark" sign: a call for increased vigilance among physicians treating victims of motor vehicle accidents. Am Surg. 65 (1999) 181-185
39. Wu S.R., Shakibai S., McGahan J.P., et al. Combined head and abdominal computed tomography for blunt trauma: which patients with minor head trauma benefit most?. Emerg Radiol. 13 (2006) 61-67
40. Vergouwe Y., Steyerberg E.W., Eijkemans M.J., et al. Substantial effective sample sizes were required for external validation studies of predictive logistic regression models. J Clin Epidemiol. 58 (2005) 475-483
41. Sahdev P., Garramone Jr. R.R., Schwartz R.J., et al. Evaluation of liver function tests in screening for intra-abdominal injuries. Ann Emerg Med. 20 (1991) 838-841
42. Reilly B.M., and Evans A.T. Translating clinical research into clinical practice: impact of using prediction rules to make decisions. Ann Intern Med. 144 (2006) 201-209
43. Livingston D.H., Lavery R.F., Passannante M.R., 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 trial. J Trauma 44 (1998) 273-280 discussion 280-282
44. Fakhry S.M., Brownstein M., Watts D.D., et al. Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma 48 (2000) 408-414 discussion 414-415
45. Miller P.R., Croce M.A., Bee T.K., et al. Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management. J Trauma 53 (2002) 238-242 discussion 242-244
46. Clarke J.R., Trooskin S.Z., Doshi P.J., et al. Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes. J Trauma 52 (2002) 420-425
47. Winslow J.E., Hinshaw J.W., Hughes M.J., et al. Quantitative assessment of diagnostic radiation doses in adult blunt trauma patients. Ann Emerg Med. 52 (2008) 93-97
48. Brenner D.J. Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol. 32 (2002) 228-223; discussion 242-244
49. Cochran S.T., Bomyea K., and Sayre J.W. Trends in adverse events after IV administration of contrast media. AJR Am J Roentgenol. 176 (2001) 1385-1388
50. Parfrey P.S., Griffiths S.M., Barrett B.J., et al. Contrast material-induced renal failure in patients with diabetes mellitus, renal insufficiency, or both. A prospective controlled study. N Engl J Med. 320 (1989) 143-149
51. Laupacis A., Sekar N., and Stiell I.G. Clinical prediction rules. A review and suggested modifications of methodological standards. JAMA 277 (1997) 488-494
52. McGinn T.G., Guyatt G.H., Wyer P.C., et al. Users' guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA 284 (2000) 79-84
53. Porter R.S., and Zhao N. Patterns of injury in belted and unbelted individuals presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited. Ann Emerg Med. 32 (1998) 418-424
54. Isaacman D.J., Scarfone R.J., Kost S.I., et al. Utility of routine laboratory testing for detecting intra-abdominal injury in the pediatric trauma patient. Pediatrics 92 (1993) 691-694
55. Sirlin C.B., Brown M.A., Andrade-Barreto O.A., et al. Blunt abdominal trauma: clinical value of negative screening US scans. Radiology 230 (2004) 661-668