SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2014
Comparison of whole-body computed tomography vs selective radiological imaging on outcomes in major trauma patients: a meta-analysis.
Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 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
47 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Imaging strategies for patients with multiple and/or severe injuries in the resuscitation room: a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Performance of trauma scoring systems in predicting mortality in geriatric trauma patients: comparison of the ISS, TRISS, and GTOS based on a systemic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study.Emergency radiology · 2024Pooled it
- Implementation of new standard operating procedures for geriatric trauma patients with multiple injuries: a single level I trauma centre study.BMC geriatrics · 2019Trial
- CT in adult patients with Polytrauma: current practices, protocol optimization, structured reporting and future directions.Emergency radiology · 2026Review
- Whole-Body Computed Tomography (WBCT) for the initial assessment of trauma patients: a retrospective observational study.Emergency radiology · 2026Observational
- Dose-reduction strategies in whole-body CT for injured patients in the emergency department: a scoping review.International journal of emergency medicine · 2026Review
- Article
- Rationalizing whole-body computed tomography in trauma: A national audit on resource utilization and strategies to minimize radiation exposure.World journal of radiology · 2026Article
- Venous phase extravasation on computed tomography is a red flag sign in critical/severe pelvic injuries.Journal of trauma and injury · 2025Article
- Computed tomography in initially unstable thoracoabdominal trauma can safely enhance triage.Surgery in practice and science · 2025Article
- Major Bleeding in the Emergency Department: A Practical Guide for Optimal Management.Journal of clinical medicine · 2025Review
- Review
- Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma.Journal of personalized medicine · 2024Review
- Physical examination and CT to assess thoracic injury in 137 cats presented to UK referral hospitals after trauma.Journal of feline medicine and surgery · 2024Article
- Ground level falls: computed tomography findings and clinical outcomes by age groups.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Multiple trauma in pregnant women: injury assessment, fetal radiation exposure and mortality. A multicentre observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Observational
- Increased CT Use and No Change in Injury Severity among Child Motor Vehicle Victims: A National Trauma Database Study in Japan.Healthcare (Basel, Switzerland) · 2023Article
- 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
- Structured approach with primary and secondary survey for major trauma care: an overview of reviews.World journal of emergency surgery : WJES · 2023Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this meta-analysis was to explore the value of whole-body computed tomography (WBCT) in major trauma patients (MTPs).
methodsA comprehensive search for articles from Jan 1, 1980 to Dec 31, 2013 was conducted through PubMed, Cochrane Library database, China biology medical literature database, Web of knowledge, ProQuest, EBSCO, OvidSP, and ClinicalTrials.gov. Studies which compared whole-body CT with conventional imaging protocol (X-ray of the pelvis and chest, trans-abdominal sonography, and/or selective CT) in MTPs were eligible. The primary endpoint was all-cause mortality. The second endpoints included: time spent in the emergency department (ED), the duration of mechanical ventilation, ICU and hospital length of stay (LOS), the incidence of Multiple Organ Dysfunction Syndrome (MODS) /Multiple Organ Failure (MOF). Analysis was performed with Review Manager 5.2.10 and Stata 12.0.
resultsEleven trials enrolling 26371 patients were analyzed. In MTPs, the application of WBCT was associated with lower mortality rate (pooled OR: 0.66, 95% CI: 0.52 to 0.85) and a shorter stay in the ED (weighted mean difference (WMD), -27.58 min; 95% CI, -43.04 to -12.12]. There was no effect of WBCT on the length of ICU stay (WMD, 0.95 days; 95% CI: -0.08 to 1.98) and the length of hospital stay (WMD, 0.56 days; 95% CI: -0.03 to 1.15). Patients in the WBCT group had a longer duration of mechanical ventilation (WMD, 0.96 days, 95% CI: 0.32 to 1.61) and higher incidence of MODS/MOF (OR, 1.44, 95% CI: 1.35-1.54; P = 0.00001).
conclusionsThe present meta-analysis suggests that the application of whole-body CT significantly reduces the mortality rate of MTPs and markedly reduces the time spent in the emergency department.
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