ArticleEmergency radiology2015
Pediatric trauma care with computed tomography--criteria for CT scanning.
Article in Emergency radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 29 citations in OpenAlex.
- Risk factors for initially missing injuries in severely injured children and adolescents: a retrospective study from the traumaregister DGU.Scientific reports · 2025Article
- Age- dependent injury patterns, management and impact on mortality of severe thoracic trauma in severely injured children: a retrospective study from the TraumaRegister DGUScandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Results of an adapted whole-body MRI in the primary care of children and adolescents in the trauma room.Journal of orthopaedic surgery and research · 2025Article
- Polytrauma in Children—Epidemiology, Acute Diagnostic Evaluation, and Treatment.Deutsches Arzteblatt international · 2024Review
- Growth patterns and ratios of posterior cranial fossa structures in the Japanese pediatric population: a study utilizing CT scans.Neuroradiology · 2023Article
- [Blunt abdominal trauma in children and adolescents: treatment concepts in the acute phase].Chirurgie (Heidelberg, Germany) · 2023Article
- 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
- Mortality With and Without Whole-Body CT in Severely Injured Children.Deutsches Arzteblatt international · 2023Article
- Neural classification of Norwegian radiology reports: using NLP to detect findings in CT-scans of children.BMC medical informatics and decision making · 2021Article
- Pediatric cervical spine injuries on CT: difference in accuracy of interpretations by pediatric versus non-pediatric radiologists.Emergency radiology · 2020Article
- [Imaging techniques in modern trauma diagnostics].Der Radiologe · 2017Article
- [Imaging techniques in modern trauma diagnostics].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017Article
- [Imaging techniques in modern trauma diagnostics].Der Unfallchirurg · 2017Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trauma centers, trauma management concepts, as well as integration of whole-body computed tomography (CT) reduced mortality significantly. The accuracy of a trauma care algorithm with emergency CT in children was evaluated. Data of 71 children with emergency CT were recorded retrospectively. In addition to epidemiological data admission date, kind of CT scan, mechanism of injury, missed diagnoses, injury severity score (ISS), admission to and time on intensive care unit (ICU), and time of hospitalization were observed. The algorithm for CT scanning was based on mechanism of injury, pattern of injury, and altered vital signs. Sixty-nine percent of the children reached the ER during on-call service hours. A percentage of 32.4 received a whole-body scan and 67.6 % a cranial scan. The mean ER ISS was 9.9 points (1-57). Children have different trauma mechanisms compared to adults. A percentage of 33.8 of the children had relevant trauma related findings in the CT scan. In 2 children, (2.8 %) 3 diagnoses (2.2 %) were initially missed. After reevaluation of the CT data, all diagnoses were identified. Thus, the accuracy of our algorithm in children was 100 %. In children, our algorithm detected all injuries, but only one third of the children had relevant trauma related findings in the CT scan. In order to reduce radiation exposure but preserve the advantages of CT, a new algorithm was developed with more flexibility taking the child's age and mental status more into account as well as clinical findings. The mechanism of injury itself is not anymore an indication for CT scanning.
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