Observational studyCritical care (London, England)2012
Impact of whole-body computed tomography on mortality and surgical management of severe blunt trauma.
Observational study in Critical care (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04937868 (Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients
Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study.Emergency radiology · 2024Pooled it
- Systematic review: effect of whole-body computed tomography on mortality in trauma patients.Journal of injury & violence research · 2015Pooled it
- Comparison of whole-body computed tomography vs selective radiological imaging on outcomes in major trauma patients: a meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2014Pooled it
- Selective computed tomography (CT) versus routine thoracoabdominal CT for high-energy blunt-trauma patients.The Cochrane database of systematic reviews · 2013Pooled it
- A case-matched series of immediate total-body CT scanning versus the standard radiological work-up in trauma patients.World journal of surgery · 2014Trial
- Development of a novel clinical decision support tool for determining the need for whole-body computed tomography in pediatric trauma patients: the WHOLE score.BMC emergency medicine · 2026Observational
- Article
- Computed tomography in initially unstable thoracoabdominal trauma can safely enhance triage.Surgery in practice and science · 2025Article
- Lessons learned during the sliding gantry CT implementation in a trauma suite.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Whole-Body Magnetic Resonance Tomography and Whole-Body Computed Tomography in Pediatric Polytrauma Diagnostics-A Retrospective Long-Term Two-Center Study.Diagnostics (Basel, Switzerland) · 2023Article
- Usefulness and outcome of whole-body computed tomography (pan-scan) in trauma patients: A prospective study.Annals of medicine and surgery (2012) · 2022Article
- Avoiding immediate whole-body trauma CT: a prospective observational study in stable trauma patients.Updates in surgery · 2022Observational
- The impact of a qualified medical documentation assistant on trauma room management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Hybrid emergency rooms reduce the requirement of blood transfusion in patients with severe trauma.World journal of emergency surgery : WJES · 2021Observational
- Combined brain and thoracic trauma surgery in a hybrid emergency room system: a case report.BMC surgery · 2021Article
- Mortality Rate of Trauma Patients with ESI Triage Level 1-2 Who Underwent Computerized Tomography-PANSCAN versus Conventional Computerized Tomography Scan.Open access emergency medicine : OAEM · 2021Article
- Mass casualty incidents-are you ready? A major incident planning template for diagnostic radiology.Emergency radiology · 2020Review
- Rationality of using whole-body computed tomography in trauma patients.Polish journal of radiology · 2020Article
- Negative Whole-Body Computed Tomography Scans in Polytrauma Patients: A Retrospective Cohort Study.Open access emergency medicine : OAEM · 2020Article
- Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients.World journal of emergency surgery : WJES · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe mortality benefit of whole-body computed tomography (CT) in early trauma management remains controversial and poorly understood. The objective of this study was to assess the impact of whole-body CT compared with selective CT on mortality and management of patients with severe blunt trauma.
methodsThe FIRST (French Intensive care Recorded in Severe Trauma) study is a multicenter cohort study on consecutive patients with severe blunt trauma requiring admission to intensive care units from university hospital trauma centers within the first 72 hours. Initial data were combined to construct a propensity score to receive whole-body CT and selective CT used in multivariable logistic regression models, and to calculate the probability of survival according to the Trauma and Injury Severity Score (TRISS) for 1,950 patients. The main endpoint was 30-day mortality.
resultsIn total, 1,696 patients out of 1,950 (87%) were given whole-body CT. The crude 30-day mortality rates were 16% among whole-body CT patients and 22% among selective CT patients (p = 0.02). A significant reduction in the mortality risk was observed among whole-body CT patients whatever the adjustment method (OR = 0.58, 95% CI: 0.34-0.99 after adjustment for baseline characteristics and post-CT treatment). Compared to the TRISS predicted survival, survival significantly improved for whole-body CT patients but not for selective CT patients. The pattern of early surgical and medical procedures significantly differed between the two groups.
conclusionsDiagnostic whole-body CT was associated with a significant reduction in 30-day mortality among patients with severe blunt trauma. Its use may be a global indicator of better management.
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