Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study

@article{HuberWagner2009EffectOW,
  title={Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study},
  author={S. Huber-Wagner and R. Lefering and L. Qvick and M. K{\"o}rner and Michael V. Kay and K. Pfeifer and M. Reiser and W. Mutschler and K. Kanz},
  journal={The Lancet},
  year={2009},
  volume={373},
  pages={1455-1461}
}
BACKGROUND The number of trauma centres using whole-body CT for early assessment of primary trauma is increasing. There is no evidence to suggest that use of whole-body CT has any effect on the outcome of patients with major trauma. We therefore compared the probability of survival in patients with blunt trauma who had whole-body CT during resuscitation with those who had not. METHODS In a retrospective, multicentre study, we used the data recorded in the trauma registry of the German Trauma… Expand

Paper Mentions

Observational Clinical Trial
Unrecognized abdominal and pelvic injuries can result in catastrophic disability and death. Sporadic reports of "occult" injuries have generated concern, and physicians, fearing that… Expand
ConditionsAbdominal Injury, Aortic Dissection, Aortic Rupture, (+11 more)
InterventionOther
Interventional Clinical Trial
Computed tomography (CT) scanning has become essential in the early diagnostic phase of trauma care because of its high diagnostic accuracy. The introduction of multi-slice CT… Expand
ConditionsMultiple Trauma/Injuries
InterventionOther
[Whole-body-CT in Severely Injured Children. Results of Retrospective, Multicenter Study with Patients from the TraumaRegsiter DGU®].
TLDR
A non-whole-body CT approach seems equivalent with a lower radiation exposure to the missing advantage of whole- body CT in the pediatric trauma population and the higher radiation exposure in adult trauma patients. Expand
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WBCT during trauma resuscitation significantly increased the survival in haemodynamically stable as well as in hamodynamically unstable major trauma patients and seems to be safe, feasible and justified if performed quickly within a well-structured environment and by an well-organized trauma team. Expand
Is Whole-Body CT Associated With Reduced In-Hospital Mortality in Children With Trauma? A Nationwide Study.
  • T. Abe, M. Aoki, +6 authors N. Tamiya
  • Medicine
  • Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2019
TLDR
The results did not support the use of whole-body CT to reduce in-hospital mortality, and selective use of imaging may result in less radiation exposure and provide more benefits than whole- body CT to pediatric trauma patients. Expand
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TLDR
CT performed before emergency bleeding control might be associated with improved survival, especially in severe trauma patients with TRISS Ps of <50%, according to a retrospective study conducted in two tertiary trauma centers in Japan. Expand
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Trauma management incorporating FACTT enhances a rapid response to life-threatening problems and enables a comprehensive assessment of the severity of each relevant injury and may increase survival. Expand
Effect on survival of whole-body CT during trauma resuscitation
TLDR
One way to avoid immortal time bias is to consider persontime instead of number of patients, and to consider the time-varying exposure status (whole- body CT vs no whole-body CT) in a Poisson or a Cox proportional hazard model. Expand
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Trauma patients are too often qualified for WBCT, and exposure to a high dose of ionising radiation associated with this modality requires critical analysis of the scope of indications and rules of conduct for trauma teams. Expand
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TLDR
Trauma patients, especially aged and severe, experienced a high rate of missed injuries in the initial hot report which appeared to be predominantly minor and musculoskeletal, advocating a CT scan second reading. Expand
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TLDR
There are significant variations in WBCT use between different hospitals in England and Wales, which require further investigation. Expand
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