Evidence map›Paper›PMID 42751578›Full record

ArticleSurgery open science2026

Utilization of whole-body computed tomography in trauma: The role of trauma center level and ACS verification.

Daniel Tabibian, Jeffrey Balian, Kevin Tabibian, Arjun Chaturvedi, Barzin Badiee, Troy Coaston, Nam Yong Cho, Areti Tillou, Peyman Benharash

Abstract read
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In one paragraph

Article in Surgery open science, 2026. 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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0citing papers in PubMed
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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Daniel TabibianCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Jeffrey BalianCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Kevin TabibianCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Arjun ChaturvediCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Barzin BadieeCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Troy CoastonCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Nam Yong ChoCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Areti TillouCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Peyman BenharashCenter for Advanced Surgical and Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Whole-body computed tomography (WBCT) is frequently used in trauma, though its value in stable patients remains uncertain. We examined WBCT use after motor vehicle collision (MVC) and whether trauma center designation and American College of Surgeons Committee on Trauma (ACS-COT) verification were associated with imaging practices. Methods: Using 2018-2021 Trauma Quality Improvement Program (TQIP) data, we identified adults aged 18-65 with blunt MVC who were stable (systolic blood pressure ≥ 100 and Glasgow Coma Scale 15) and received a CT scan. WBCT was defined as head, chest, and abdomen CT within 2 h of admission; selective CT (SCT) covered fewer than all three regions. Temporal trends by state-designated trauma level and ACS-COT verification were assessed using Cuzick's nonparametric test, and multivariable logistic regression identified factors associated with WBCT use. Results: Among 288,264 stable MVC patients receiving CT, 78,796 (27.3%) underwent WBCT, and 209,468 (72.7%) SCT. WBCT utilization declined at ACS-verified (31.9 to 30.2%) and non-verified centers (22.0 to 18.4%), and at Level I (29.1 to 27.1%) and Level II (28.5 to 26.9%) facilities (all nptrend <0.001), with consistent declines across Injury Severity Score strata. After adjustment, ACS verification was associated with higher odds of WBCT (AOR 1.96, 95% CI 1.92-2.00), whereas non-profit or government ownership (AOR 0.55, 95% CI 0.54-0.57) was associated with lower odds. Conclusions: In stable MVC patients, WBCT utilization declined from 2018 to 2021 across trauma levels and verification strata, while institutional characteristics remained strongly associated with WBCT.

Indexed as

American College of Surgeons Committee on Trauma verificationMotor vehicle collisionSelective computed tomographyTrauma Quality Improvement ProgramWhole-body computed tomography

Identifiers

PMID42751578
PMCPMC13580070

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