SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
Indications for total-body computed tomography in blunt trauma patients: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
20 citing papers in PubMed, 2 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
- Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study.Emergency radiology · 2024Pooled it
- Refining the criteria for immediate total-body CT after severe trauma.European radiology · 2020Trial
- Emergency Bleeding Control Interventions After Immediate Total-Body CT Scans in Trauma Patients.World journal of surgery · 2019Trial
- 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
- Prevalence, characteristics and treatment of concomitant injury to liver and spleen with vascular injury after blunt abdominal trauma.Scientific reports · 2025Article
- The correlation of CT-derived muscle density, skeletal muscle index, and visceral adipose tissue with nutritional status in severely injured patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Immediate CT after hospital arrival and decreased in-hospital mortality in severely injured trauma patients.BJS open · 2023Article
- 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
- European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version).Insights into imaging · 2020Article
- Is There a Need for Abdominal CT Scan in Trauma Patients With a Low-Risk Mechanism of Injury and Normal Vital Signs?Cureus · 2020Article
- Trauma CT evaluation prior to selective angiography in patients with traumatic injuries: negative predictive power and factors affecting its utility.Emergency radiology · 2020Article
- Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnoses and Radiation Exposure in Patients With Blunt Multiple Trauma.JAMA surgery · 2020Article
- Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients.World journal of emergency surgery : WJES · 2020Article
- Negative Whole-Body Computed Tomography Scans in Polytrauma Patients: A Retrospective Cohort Study.Open access emergency medicine : OAEM · 2020Article
- How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?SA journal of radiology · 2020Article
- Rationality of using whole-body computed tomography in trauma patients.Polish journal of radiology · 2020Article
- Whole-Body Computed Tomography During Initial Management and Mortality Among Adult Severe Blunt Trauma Patients: A Nationwide Cohort Study.World journal of surgery · 2018Article
- Patterns of injury detected by pan-computed tomography after road traffic accidents: retrospective review from a trauma center in Saudi Arabia.Annals of Saudi medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTotal-body CT scanning (TBCT) could improve the initial in-hospital evaluation of severe trauma patients. Indications for TBCT, however, differ between trauma centers, so more insight in how to select patients that could benefit from TBCT is required. The aim of this review was to give an overview of currently used indications for total-body CT in trauma patients and to describe mortality and Injury Severity Scores of patient groups selected for TBCT.
methodsA systematic review was performed by searching MEDLINE and Embase databases. Studies evaluating or describing criteria for selection of patients with potentially severe injuries for TBCT during initial trauma care were included. Also, studies comparing total-body CT during the initial assessment of injured patients with conventional imaging and selective CT in specific patient groups were included.
resultsThirty eligible studies were identified. Three studies evaluated indications for TBCT in trauma with divergent methods. Combinations of compromised vital parameters, severe trauma mechanisms and clinical suspicion on severe injuries are often used indications; however, clinical judgement is used as well. Studies describing TBCT indications selected patients in different ways and were difficult to compare regarding mortality and injury severity.
conclusionsIndications for TBCT in trauma show a wide variety in structure and cut-off values for vital parameters and trauma mechanism dimensions. Consensus on indications for TBCT in trauma is lacking.
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