Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time.
J Trauma
; 66(3): 658-65, 2009 Mar.
Article
em En
| MEDLINE
| ID: mdl-19276734
OBJECTIVE: 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). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Texto completo:
1
Temas:
ECOS
/
Avaliacao_tecnologia
Bases de dados:
MEDLINE
Assunto principal:
Estudos de Tempo e Movimento
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Ferimentos não Penetrantes
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Traumatismo Múltiplo
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Tomografia Computadorizada Espiral
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Serviço Hospitalar de Emergência
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Imagem Corporal Total
Tipo de estudo:
Diagnostic_studies
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Guideline
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Health_technology_assessment
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Observational_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Trauma
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha