ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Assessment of sensitivity of whole body CT for major trauma.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04937868 (Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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.
Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- [Management of internal bleeding : Guidelines of the American Association for the Surgery of Trauma (AAST) and World Society of Emergency Surgery (WSES)].Radiologie (Heidelberg, Germany) · 2025Guideline
- Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study.Emergency radiology · 2024Pooled it
- 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
- Outcomes following non-operative management for severe liver trauma: a UK multicentre observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Can leukocyte count predict the presence of post-traumatic lesions on the WBCT in clinically stable severe trauma patients? A retrospective study.BMC emergency medicine · 2025Observational
- Feasibility and diagnostic accuracy of fast whole-body MRI in slightly to moderately injured trauma patients.European radiology · 2025Article
- Coronary artery calcification detected by initial polytrauma CT in severely injured patients: retrospective single-center cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Importance of the Mechanism of Injury in Trauma Radiology Decision-Making.Korean journal of radiology · 2023Review
- Massive Trauma and Resuscitation Strategies.Anesthesiology clinics · 2023Review
- Musculus psoas major morphology - a novel predictor of mortality in elderly polytraumatized patients.BMC emergency medicine · 2023Article
- Immediate CT after hospital arrival and decreased in-hospital mortality in severely injured trauma patients.BJS open · 2023Article
- Improvements over time for patients following liver trauma: A 17-year observational study.Frontiers in surgery · 2023Article
- Cranial CT is a mandatory tool to exclude asymptomatic cerebral hemorrhage in elderly patients on anticoagulation.Frontiers in medicine · 2023Article
- Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience.Biomedical reports · 2022Article
- Comparison of detection of trauma-related injuries using combined "all-in-one" fused images and conventionally reconstructed images in acute trauma CT.European radiology · 2022Article
- Delayed diagnosed trauma in severely injured patients despite guidelines-oriented emergency room treatment: there is still a risk.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Dental Trauma on whole Body Trauma CT-An underreported finding.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Iterative reconstruction improves image quality and reduces radiation dose in trauma protocols; A human cadaver study.Acta radiologica open · 2021Article
- Hybrid emergency rooms reduce the requirement of blood transfusion in patients with severe trauma.World journal of emergency surgery : WJES · 2021Observational
- Registry-Based Mortality Analysis Reveals a High Proportion of Patient Decrees and Presumed Limitation of Therapy in Severe Geriatric Trauma.Journal of clinical medicine · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWhole body computed tomography has become standard practice in many centres in the management of severely injured trauma patients, however, the evidence for it's diagnostic accuracy is limited.
aimTo assess the sensitivity of whole body CT in major trauma.
methodRetrospective review of all patients with injury severity score (ISS) > 15 presenting with blunt trauma to a UK Major Trauma Centre between May 2012 and April 2014. Injuries were classified as per ISS score-1 = head and neck 2 = face 3 = chest 4 = abdomen. The authors reviewed patient's electronic charts, radiological results; interventional procedure records, discharge letters and outpatient follow up documentation and referenced this with Trauma Audit and Research Network data.
results407 patients with ISS > 15 presented to the Trauma centre during May 2012 and April 2014. Of these, 337 (82.8%) had a whole body CT scan. 246 pts were male, 91 were female. 74 (21.9%) were due to a fall from > 2 m, 41 (12.2%) due to a fall from < 2 m, 208 (61.7%) were due to motor vehicle crashes, 1 (0.3%) due to a blast injury, 5 (1.5%) due to blows, and 8 (2.4%) due to crush injuries. Sensitivity for Region 1 was 0.98, Region 2 = 0.98, Region 3 = 0.98 and Region 4 was 0.95. Overall sensitivity was 0.98. 15 injuries (2.4%) were not identified on initial CT (false -ve). These injuries were: colonic perforation = 1, splenic contusion = 1, pneumothorax = 1, liver laceration = 1, intracranial haemorrhage = 1, cerebral contusions = 1, spinal injuries = 7, canal haemorrhage = 1, maxilla fracture = 1.
conclusionThese results show that whole body CT in trauma has a high sensitivity and a low rate of missed injuries (2.4%). However, our study only evaluated a subgroup of patients with ISS > 15 and further work is required to assess the use of this investigation for all major trauma patients.
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