The Role of Whole-Body Computed Tomography in Severely Injured Patients Retrospective Single Center Cohort Study
Journal of Acute Care Surgery
;
(2): 18-22, 2016.
Artículo
en Coreano
| WPRIM
| ID: wpr-652354
ABSTRACT
PURPOSE:
To assess the effects of whole-body computed tomography (WBCT) on severely injured trauma patients.METHODS:
After the installation of a WBCT scanner, we compared 48 patients who underwent the WBCT (WBCT cohort) with 40 patients prior to the WBCT (pre-WBCT cohort). We evaluated the number of CT, radiation exposure, time interval to decision and clinical outcomes such as length of intensive care unit stay, ventilation period, and acute kidney injury rates.RESULTS:
In the WBCT cohort, the number of CT scans was significantly less (3.5 times) than in the pre-WBCT cohort (5.5 times; p<0.001). The radiation exposure was significantly lower in the WBCT cohort (24.5 mSv) than in the pre-WBCT cohort (31.3 mSv; p=0.040). The amount of radio-contrast used differed between the groups, but not significantly. Although there were fewer acute kidney injuries in the WBCT cohort (27.1%) than in pre-WBCT cohort (37.5%; p=0.296), especially severe injuries (stage 3 Acute Kidney Injury [AKI] Network 17.5% in pre-WBCT vs. 6.3% in WBCT; p=0.059), the difference did not reach statistical significance. The hospital length of stay was significantly shorter in the WBCT cohort (21.42 days) than in the pre-WBCT cohort (32.38 days, p=0.019). However, there were no significant differences in the time interval to decision, intensive care unit stay, ventilation days, and mortality.CONCLUSION:
The WBCT decreased the number of CT scans and subsequent less use of radio-contrast amount. It also tended to reduce severe AKI.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ventilación
/
Tomografía Computarizada por Rayos X
/
Estudios Retrospectivos
/
Estudios de Cohortes
/
Mortalidad
/
Exposición a la Radiación
/
Lesión Renal Aguda
/
Unidades de Cuidados Intensivos
/
Tiempo de Internación
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of Acute Care Surgery
Año:
2016
Tipo del documento:
Artículo
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