ArticleDiagnostics (Basel, Switzerland)2022
Incidental CT Findings in the Elderly with Low-Energy Falls: Prevalence and Implications.
Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- The Utility of Pan-Scan Imaging in Older Patients After Ground-Level Falls: A Comparative Study.Cureus · 2025Article
- CT-based explainable machine learning for predicting benign and malignant thyroid nodules: a multi-center study.Frontiers in oncology · 2025Article
- The clinical implications of using a low threshold for computed tomography scans in older patients presenting with a proximal femur fracture.European geriatric medicine · 2024Article
- Incidental Computed Tomography Findings Among Traumatized Adults: A One-Year Analysis at a Trauma Center.Cureus · 2024Article
- Clinical history and incidental abnormality detection in endodontic cone beam computed tomography.Journal of medical imaging (Bellingham, Wash.) · 2023Article
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Authors and funding
11 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComputed tomography (CT) is commonly used in trauma care, with increasing implementation during the emergency work-up of elderly patients with low-energy falls (LEF). The prevalence of incidental findings (IFs) resulting from CT imaging and requiring down-stream actions in this patient cohort is unknown. We have investigated the prevalence and urgency of IFs from emergency CT examinations in these patients.
methodsA total of 2871 patients with LEF and emergency CT examinations were consecutively included in this retrospective cohort study. The primary endpoint was the prevalence of IFs; the secondary endpoint was their urgency.
resultsThe median age was 82 years (64.2% were women). IFs were identified in 73.9% of patients, with an average of 1.6 IFs per patient. Of all IFs, 16.4% were classified as urgent or relevant, predominantly in the abdomen, chest and neck. Increasing age was associated with the prevalence of an IF (odds ratio: 1.053, 95% confidence interval: 1.042-1.064). Significantly more IFs were found in female patients (75.2% vs. 71.5%).
conclusionIFs resulting from CT examinations of the elderly are frequent, but in more than 8 out of 10, they are harmless or currently asymptomatic. For the benefit of an accurate diagnosis of traumatic lesions, concerns about IFs with respect to disease burden, further work-up and resource utilisation might be disregarded.
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