ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018
Early CT scanning in the emergency department in patients with penetrating injuries: does it affect outcome?
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Does timely reporting of preoperative CT scans influence outcomes for patients following emergency laparotomy?Annals of the Royal College of Surgeons of England · 2025Observational
- Outcomes of Nonoperative Management of Penetrating Abdominal Trauma Injury: A Retrospective Study.Cureus · 2024Article
- The Patterns and Quality of Acute Trauma Care in A University Hospital - A 5-year Analysis.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2024Article
- Exploring Patient Preferences for Information About CT Radiation Exposure: Bridging the Gap Between Patient Preference and Physician Practice.Patient preference and adherence · 2024Article
- Changing the Patient's Position: Pitfalls and Benefits for Radiation Dose and Image Quality of Computed Tomography in Polytrauma.Diagnostics (Basel, Switzerland) · 2022Article
- Developing a machine learning model to predict patient need for computed tomography imaging in the emergency department.PloS one · 2022Article
- First-Step PPG Signal Analysis for Evaluation of Stress Induced during Scanning in the Open-Air MRI Device.Sensors (Basel, Switzerland) · 2020Article
- Imaging of penetrating thoracic trauma in a large Nordic trauma center.Acta radiologica open · 2019Article
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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
backgroundTo be a level I trauma center in the Netherlands a computed tomography (CT) scanner in the emergency department (ED) is considered desirable, as it is presumed that this optimizes the diagnostic process and that therapy can be directed based on these findings. Aim of this study was to assess the effects of implementing a CT scanner in the ED on outcomes in patients with penetrating injuries.
methodsIn this retrospective descriptive study, patients with penetrating injuries (shot and/or stab wounds), presented between 2000 and 2014 were analysed using the hospital's electronic database, and data from the West Netherlands trauma registry and the financial department.
results405 patients were included: performing a CT scan upon arrival increased significantly from 26.7 to 67.0% (p = 0.00) after implementation of a CT scanner in the ED, with the mean cost of a CT being 96.85 euros. Overall mortality decreased from 6.9 to 3.7%, although not statistically significant. Intensive care unit admission (ICU-admission) and median hospital length of stay (H-LOS) decreased from 30.9 to 24.5% resp. 3.2 to 1.8 days (p ≤ 0.05). Overall mortality, adjusted for injury severity score (ISS), revised trauma score (RTS), and types of injuries, did not change significantly.
conclusionPatients with penetrating injuries more often received a CT scan on admission after implementation of a CT scanner in the ED. Early CT scanning is useful since it significantly reduces ICU-admissions and decreases H-LOS. It is a cheap and non-invasive diagnostic tool with significant clinical impact, resulting in directed treatment, and improvement of outcomes.
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