Document Detail


The trauma bay chest radiograph in stable blunt-trauma patients: do we really need it?
MedLine Citation:
PMID:  16494179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current study evaluates the need for trauma bay chest radiographs (CXR) in stable blunt-trauma patients who are scheduled for chest computed tomography (CCT). A retrospective review of 157 randomly selected, stable, adult blunt-trauma patients who were admitted to a level I trauma center between 2000 and 2002, who underwent both CXR and CCT (GE Light-Speed Scanner), was performed. Stable patients were defined as unintubated, normotensive (SBP > 100 mm Hg), and without hypoxia (O2 saturation > 90%). No interventions were conducted in the trauma bay based on chest radiograph findings. Among 95 patients with a "normal" CXR, 38 patients (40%) were found on CCT to have traumatic injuries. Among 62 patients with an "abnormal" CXR, 18 (29%) were found to be normal on CCT. Of the remaining 44 patients, 34 had additional findings on CCT. In 32 patients, CCT led to changes in management. CCT was more sensitive in diagnosing thoracic injuries and led to significant changes in management. We feel that CXR could be safely eliminated in favor of CCT in stable blunt-trauma patients.
Authors:
Joao A Lopes; Heidi L Frankel; S Jamal Bokhari; Matthew Bank; Manish Tandon; Reuven Rabinovici
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  72     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-02-23     Completed Date:  2006-03-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Affiliation:
Yale University School of Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Reproducibility of Results
Retrospective Studies
Thoracic Injuries / radiography*
Tomography, X-Ray Computed*
Trauma Severity Indices
Wounds, Nonpenetrating / radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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