ArticleEmergency radiology2026
Diagnostic yield and clinical predictors of blunt cerebrovascular injury: A CTA utilization review at a level I trauma center.
Article in Emergency radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBlunt cerebrovascular injury (BCVI) is a potentially devastating complication of high-energy trauma that can lead to ischemic stroke if undetected. Computed tomography angiography (CTA) is the primary screening modality, though optimal patient selection criteria remain debated. Rising CTA utilization at our institution prompted a quality improvement review to evaluate the diagnostic yield and identify clinical predictors of BCVI.
methodsA retrospective review was conducted of trauma patients who underwent CTA of the head and neck at a Level I trauma center between January and December 2023.Clinical variables were compared between patients with and without BCVI on univariate analysis, and independent predictors were identified using multivariate logistic regression.
resultsAmong 305 patients screened, BCVI was identified in 40 patients (13.1%), with a total of 44 injuries due to multivessel involvement in 4 patients. Vertebral artery injuries predominated (34/44,77.3%), with Grade 1 being most common (18/44,40.9%). Loss of consciousness (OR 2.96; 95% CI 1.43-6.29; p = 0.003) and cervical spine fracture (OR 8.06; 95% CI 3.86-17.9; p < 0.001) were independent predictors of BCVI on multivariate analysis. The multivariate model demonstrated good discriminatory performance (AUROC = 0.788; 95% CI 0.707-0.868).
conclusionsIn a screened trauma cohort, LOC at the scene was a strong independent predictor of BCVI, a relationship not previously incorporated into formal screening criteria. These findings support prospective evaluation of LOC as a clinically accessible adjunct to existing risk-stratification tools.
Indexed as
Identifiers
42601518What OpenQuestion holds
Registered trials
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.