Evidence map›Paper›PMID 35001252›Full record

Observational studyUpdates in surgery2022

Avoiding immediate whole-body trauma CT: a prospective observational study in stable trauma patients.

Elisa Reitano, Stefano Granieri, Fabrizio Sammartano, Stefania Cimbanassi, Miriam Galati, Shailvi Gupta, Angelo Vanzulli, Osvaldo Chiara

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. 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 · 2025
    Pooled it
  2. Article
  3. No trauma-related diagnosis in emergency trauma room whole-body computer tomography of patients with inconspicuous primary survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Elisa ReitanoDivision of General Surgery, Department of Translational Medicine, Maggiore Della Carità Hospital, University of Eastern Piedmont, Corso Giuseppe Mazzini 18, Novara, Italy.
Stefano GranieriGeneral Surgery Unit, ASST Vimercate, Via Santi Cosma e Damiano 16, 20871, Vimercate, Italy.
Fabrizio SammartanoTrauma Unit, Department of General Surgery, San Carlo Borromeo Hospital, Via Pio II 3, 20153, Milan, Italy.
Stefania CimbanassiGeneral Surgery and Trauma Team, ASST Niguarda, Milano, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.
Miriam GalatiGeneral Surgery and Trauma Team, ASST Niguarda, Milano, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.
Shailvi GuptaAdams Cowley Shock Trauma Center, Baltimore, MD, USA.
Angelo VanzulliRadiology Department, ASST Niguarda, University of Milan, Piazza Ospedale Maggiore 3, 20162, Milano, Milan, Italy.
Osvaldo ChiaraGeneral Surgery and Trauma Team, ASST Niguarda, University of Milan, Piazza Ospedale Maggiore 3, 20162, Milano, Milan, Italy. osvaldo.chiara@unimi.it.ORCID http://orcid.org/0000-0003-2409-2109
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITAzienda Ospedaliera di Desio e Vimercate · ITOspedale San Carlo · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High energy blunt trauma patients with normal vital signs are usually investigated with a Contrast Enhanced Computed Tomography (CECT) for torso injuries. CECT involves high levels of radiations, often showing no injuries in patients over-triaged to the trauma center. The aim of our study was to suggest an alternative diagnostic protocol based on Emergency Room (ER) tests (physical exam, blood tests, extended FAST, Chest and Pelvis X-ray) to avoid CECT in selected patients. A prospective cohort study was conducted from September 2018 to September 2019. Five hundred patients fulfilled the inclusion criteria. Patients received torso-CECT scan only if they had at least one positive ER test. The validity of the single component of the protocol and the global validity of the ER tests to detect torso injuries was assessed through sensitivity, specificity, positive (PPV) and negative (NPV) predictive value, positive (+ LR) and negative (- LR) likelihood ratio. Multivariate analysis was performed to identify independent predictors of torso injuries. One hundred and seventy patients received a torso-CECT scan because of positive ER tests. ER tests showed a global sensitivity for torso injuries of 86.96% (95% CI 80.17-92.08) specificity of 83.98%(95% CI 79.79-87.60), PPV of 67.42% (95% CI 61.83-72.54), NPV of 94.41% (95% CI 91.63-96.30) + LR of 5.43 (95% CI 4.25-6.93), - LR of 0.16 (95% CI 0.10-0.24). ER tests in an experienced center seem to be able to identify more severe blunt trauma patients needing CECT. Further studies are advisable to confirm these results.

Indexed as

Abdominal InjuriesThoracic InjuriesWounds, NonpenetratingHumansProspective StudiesTomography, X-Ray ComputedEmergency medicineEmergency surgeryTraumaTrauma center

Identifiers

PMID35001252
OpenAlexW4205483545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.