Positive Whole-Body CT Can Detect but Not Eliminate Trauma

Close monitoring and clinical follow-up of patients with traumatic injuries still advised

TUESDAY, March 6 (HealthDay News) -- For assessing severe trauma, single-pass whole-body computed tomography (CT), or pan-scanning, can detect, but not definitively exclude, the presence of injuries, according to a study published online March 5 in CMAJ, the journal of the Canadian Medical Association.

Dirk Stengel, M.D., Ph.D., of the Unfallkrankenhaus in Berlin, and colleagues analyzed data from 982 patients with suspected severe injuries who underwent single-pass pan-scanning at a trauma center. The scans were independently evaluated by two reviewers who analyzed the injuries to five body regions and compared the results with a synopsis of hospital charts, ensuing imaging, and interventional procedures. The median length of follow-up was 39 days (interquartile range, 7 to 490), and 474 patients underwent a definitive reference test.

The researchers found that 1,756 injuries were detected in the patients scanned. An Injury Severity Score of greater than 15 was seen in 360 patients. The sensitivity and specificity of the initial pan-scan were 84.6 and 98.9 percent, respectively, for head and neck injuries; 79.6 and 99.1 percent for facial injuries; 86.7 and 98.9 percent for thoracic injuries; 85.7 and 97.5 percent for abdominal injuries; and 86.2 and 99.8 percent for pelvic injuries. Seventy missed injuries were seen in 62 patients, indicating a 6.3 percent residual risk.

"The positive results of trauma pan-scans are conclusive but negative results require subsequent confirmation," the authors write. "The pan-scan algorithms reduce, but do not eliminate, the risk of missed injuries, and they should not replace close monitoring and clinical follow-up of patients with major trauma."

Several authors disclosed financial ties to the pharmaceutical and medical device industries.

Abstract
Full Text

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events