ArticleCureus2024
Utility of Abdominal Cross-Sectional Imaging in Motor Vehicle Accidents in an Inner City Trauma Center: A Retrospective Cohort Study.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background The use of computed tomography (CT) of the abdomen and pelvis following motor vehicle collisions (MVCs) as standard diagnostic evaluation is widely accepted. However, the incidence of positive findings is low, and it is unknown which features increase the risk of having abdominal injuries. Objectives The aim of this study is to identify risk factors on presentation that are associated with positive CT findings. Methods A retrospective review of patients from January 2020 to January 2023 in a level II urban trauma center who were in MVCs was performed. Standard ACS TQIP metrics were recorded, as well as vehicle speed, CT findings, and presenting characteristics. Low-speed MVCs were considered to be ≤25 mph and high-speed MVCs were considered to be >25 mph. Results In 4,444 trauma activations, there were 738 (16.6%) MVCs: 310 (42.0%) were low-speed, 160 (21.7%) were high-speed, and 268 (36.3%) were unknown-speed. Twenty-nine patients had positive CT findings. There was a significant difference in positive CT findings in low-speed versus high-speed MVCs (1.9% vs 5.9%, p < 0.05). Multivariate analysis for positive CT findings revealed that high-speed and unknown MVCs (OR
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