Over reliance on computed tomography imaging in patients with severe abdominal injury: Is the delay worth the risk?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 70, Issue 2, 2011, Pages 278-284

  Neal, Matthew D ^a   Peitzman, Andrew B ^a   Forsythe, Raquel M ^a   Marshall, Gary T ^a   Rosengart, Matthew R ^a   Alarcon, Louis H ^a   Billiar, Timothy R ^a   Sperry, Jason L ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Abdominal; Computed Tomography; Delay; Hypotensive

Indexed keywords

ABDOMINAL INJURY; ADULT; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DELAYED DIAGNOSIS; DISEASE SEVERITY; FEMALE; HUMAN; LAPAROTOMY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RISK ASSESSMENT;

ABDOMINAL INJURIES; ADULT; FEMALE; HUMANS; INJURY SEVERITY SCORE; KAPLAN-MEIER ESTIMATE; LAPAROTOMY; MALE; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME; WOUNDS, NONPENETRATING; WOUNDS, PENETRATING;

EID: 79951608163     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31820930f9     Document Type: Article

References (3)

1. Fairfax FH, Christmas AB, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative management. Am Surg. 2009;75:558 -563; discussion 563-564.
2. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. 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. 2000;48:408-414.
3. Attard J, MacLean AR. Adhesive small bowel obstruction: Epidemiology, biology and prevention. Can J Surg. 2007;50:291-300.