| Autor: |
Andrew L, Plaster, Mark E, Hamill, Daniel I, Lollar, Katie M, Love, Emily R, Faulks, Daniel W, Freeman, Andrew D, Benson, Michael S, Nussbaum, Bryan R, Collier |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
The American surgeon. 84(11) |
| ISSN: |
1555-9823 |
| Popis: |
Limiting CT imaging in the ED has gained interest recently. After initial trauma workup for consultations in the ED, additional CT imaging is frequently ordered. We assessed the benefits of this additional imaging. Our hypothesis was that additional imaging in lower acuity trauma consults results in the diagnosis of new significant injuries with a change in treatment plan and increased Injury Severity Score (ISS). The registry at our Level I trauma center was queried from November 2015 to November 2016 for trauma consults initially evaluated by ED physicians. Patients with mild to moderate injuries were included. Injury findings before and after additional imaging were determined by chart review and pre- and postimaging ISS were calculated. Blinded trauma surgeons assessed the findings for clinical significance and changes in treatment. Four hundred and twenty-one patients were evaluated, 41 were excluded. One hundred and forty patients (37%) underwent additional CT imaging. Forty-seven patients (34%) had additional injuries found, with 16 (12%) increasing their ISS (mean 0.54, SD 1.66). Ninety-three per cent of cases resulted in at least one physician finding the new injuries clinically significant; however, agreement was low ( |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
