Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time
| Autor: | Markus Kredel, Norbert Roewer, Thomas Wurmb, Peter Frühwald, Witiko Hopfner, Jörg Brederlau, Thorsten Keil, Herbert Kuhnigk |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Technology Assessment Biomedical Focus (geometry) Adolescent Helical computed tomography First line Resuscitation Critical Care and Intensive Care Medicine Efficiency Organizational Wounds Nonpenetrating Young Adult Injury Severity Score Germany medicine Humans In patient Multislice Whole Body Imaging Child Aged Retrospective Studies Aged 80 and over business.industry Multiple Trauma Multislice computed tomography Equipment Design Middle Aged Time and Motion Studies Surgery Female Tomography Radiology Triage business Whole body Emergency Service Hospital Tomography Spiral Computed Algorithms |
| Zdroj: | The Journal of trauma. 66(3) |
| ISSN: | 1529-8809 |
| Popis: | Whole-body multislice helical computed tomography (MSCT) becomes increasingly important as a diagnostic tool in patients with multiple injuries. We describe time requirement of two different diagnostic approaches to multiple injuries one with whole-body-MSCT (MSCT Trauma-Protocol) as the sole radiologic procedure and one with conventional use of radiography, combined with abdominal ultrasound and organ focused CT (Conventional-Trauma-Protocol).Observational study with retrospective analysis of time requirements for resuscitation, diagnostic workup and transfer to definitive treatment after changing from conventional to MSCT Trauma-Protocol. Group I: data from trauma patients imaged with whole-body MSCT. Group II: data of trauma patients investigated with conventional trauma protocol before the introduction of MSCT-Trauma-Protocol.The complete diagnostic workup in group I (n = 82) was finished after 23 minutes (17-33 minutes) [median; interquartile range (IQR)] and after 70 minutes (IQR, 56-85) in group II (n = 79). The definitive management plan based on a completed diagnostic workup was devised after 47 minutes (IQR, 37-59) in group I and after 82 minutes (IQR, 66-110) in group II.A whole-body MSCT-based diagnostic approach to multiple injuries might shorten the time interval from arrival in the trauma emergency room until obtaining a final diagnosis and management plan in patients with multiple injuries and might, therefore, contribute to improvements in patient care. |
| Databáze: | OpenAIRE |
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