Trial reportWorld journal of surgery2014
A case-matched series of immediate total-body CT scanning versus the standard radiological work-up in trauma patients.
Trial report in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study.Emergency radiology · 2024Pooled it
- Indications for total-body computed tomography in blunt trauma patients: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Pooled 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
- Radiological findings and radiation exposure during trauma workup in a cohort of 1124 level 1 trauma patients.Langenbeck's archives of surgery · 2017Trial
- Efficacy of pan-computed tomography scan in trauma patients presenting in the emergency department of a tertiary care center: an observational study.Annals of medicine and surgery (2012) · 2026Article
- Emergency Radiology in the First 24 h of Two Major Earthquakes on the Same Day and Radiologic Evaluation of Trauma Cases.Tomography (Ann Arbor, Mich.) · 2024Article
- CT scan and conventional x-ray in multiple injured patient care: diagnostic strategies and outcomes analysed from the TraumaRegister DGU®.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Mass casualty incidents-are you ready? A major incident planning template for diagnostic radiology.Emergency radiology · 2020Review
- Negative Whole-Body Computed Tomography Scans in Polytrauma Patients: A Retrospective Cohort Study.Open access emergency medicine : OAEM · 2020Article
- Computed tomography during initial management and mortality among hemodynamically unstable blunt trauma patients: a nationwide retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Radiological mass casualty incident (MCI) workflow analysis: single-centre data of a mid-scale exercise.The British journal of radiology · 2016Article
- Routine Chest Computed Tomography and Patient Outcome in Blunt Trauma.Archives of trauma research · 2015Article
- [Interdisciplinary management of trauma patients : Update 3 years after implementation of the S3 guidelines on treatment of patients with severe and multiple injuries].Der Anaesthesist · 2014Review
- A case-matched series of total body CT scanning in trauma patients: reply.World journal of surgery · 2014Article
- Trauma computed tomography: benefits and hazards.World journal of surgery · 2014Article
- Does repeat Hb measurement within 2 hours after a normal initial Hb in stable trauma patients add value to trauma evaluation?International journal of emergency medicine · 2014Article
- Implications of an Incidental Pulmonary Arteriovenous Malformation.Journal of investigative medicine high impact case reportsArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years computed tomography (CT) has become faster and more available in the acute trauma care setting. The aim of the present study was to compare injured patients who underwent immediate total-body CT (TBCT) scanning with patients who underwent the standard radiological work-up with respect to 30-day mortality.
methodsBetween January 2009 and April 2011, 152 consecutive patients underwent immediate TBCT scanning as part of a prospective pilot study. These patients were case-matched by age, gender, and Injury Severity Score (ISS) category with control patients from a historical cohort (July 2006-November 2007) who had undergone X-rays and focused assessment with sonography for trauma, followed by selective CT scanning.
resultsDespite comparable demographics, TBCT patients had a lower median Glasgow Coma Score (GCS) than controls (10 vs. 15; p < 0.001) and on-scene endotracheal intubation was performed more often (33 vs. 19 %; p = 0.004). 30-day mortality was 13 % in the TBCT patient group versus 13 % in the control group (p = 1.000). A generalized linear mixed model analysis showed that a higher in-hospital GCS [odds ratio (OR) 0.8, 95 % confidence interval (CI) 0.745-0.86; p < 0.001] and immediate TBCT scanning (OR 0.46, 95 % CI 0.236-0.895; p = 0.022) were associated with decreased 30-day mortality, while a higher ISS (OR 1.054, 95 % CI 1.028-1.08) p < 0.001) was associated with increased 30-day mortality.
conclusionsTrauma patients who underwent immediate TBCT scanning had similar absolute 30-day mortality rates compared to patients who underwent conventional imaging and selective CT scanning. However, immediate TBCT scanning was associated with a decreased 30-day mortality after correction for the impact of differences in raw ISS and in-hospital GCS.
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