Whole-body computed tomography after major blunt trauma: is it necessary?
Yıl: 2023 Cilt: 8 Sayı: 2 Sayfa Aralığı: 30 - 35 Metin Dili: İngilizce DOI: 10.22391/fppc.1205605 İndeks Tarihi: 17-05-2023
Whole-body computed tomography after major blunt trauma: is it necessary?
Öz: Introduction: Trauma is a significant health problem today. Also, it is the foremost reason for death among people ages 1-45; for this reason, the economic and social effect is more articulated. The whole-body CT scans have become a standard procedure in managing trauma patients in many trauma centers. We think that whole body CT will be beneficial in patients with blunt trauma. Thus, we aimed to examine patients with blunt trauma who applied to the emergency department and had whole-body CT scans. Methods: Patient who applied to blunt trauma and had whole-body CT scans to the emergency department of a tertiary training and research hospital between Jan 1, 2021, and Jan 1, 2022, were examined in this single-center, retrospective study. The study population was established based on inclusion and exclusion criteria. ISS, GCS, and whole-body CT scans were compared for mortality. Results: Cranial bone fracture (p= 0.001), epidural hemorrhage (p= 0.001), traumatic subarachnoid hemorrhage (p= 0.001), cerebral edema (p= 0.003), and thoracic contusion (p= 0.046) were significant for mortality. Also, the number of pathological regions in whole-body CT scans was not associated with mortality (p= 0.587). ISS (p=0.001) and GCS (p= 0.001) predicted mortality in patients who experienced whole-body CT scans. Conclusion: Based on our findings, we can detect organ and tissue injuries quickly and in detail using whole-body CT scanning after major blunt trauma. In addition, various protocols are needed in multiple trauma patients to reduce the number of unnecessary WBCT scans. Therefore, whole-body CT scans may be helpful for selection, as ISS and GCS are markers of mortality.
Anahtar Kelime: Majör künt travma sonrası rutin tüm vücut bilgisayarlı tomografi: Gerekli mi?
Öz: Giriş: Travma günümüzde önemli bir sağlık sorunudur. Ayrıca 1-45 yaş arası kişilerde en önde gelen ölüm nedenidir; bu nedenle ekonomik ve sosyal etkisi daha belirgindir. Tüm vücut BT taramaları, birçok travma merkezinde travma hastalarının tedavisinde standart bir prosedür haline geldi. Künt travmalı hastalarda tüm vücut BT'nin faydalı olacağını düşünüyoruz. Bu nedenle acil servise künt travma ile başvuran ve tüm vücut BT çekilen hastaları incelemeyi amaçladık. Yöntem: Bu tek merkezli, retrospektif çalışmada, üçüncü basamak bir eğitim ve araştırma hastanesinin acil servisine 1 Ocak 2021-1 Ocak 2022 tarihleri arasında künt travma nedeniyle başvuran ve tüm vücut BT görüntüleri çekilen hasta incelendi. Çalışma popülasyonu, dahil etme ve hariç tutma kriterlerine göre oluşturulmuştur. ISS, GKS ve tüm vücut BT taramaları mortalite açısından karşılaştırıldı. Bulgular: Kafa kemiği kırığı (p= 0,001), epidural kanama (p= 0,001), travmatik subaraknoid kanama (p= 0,001), beyin ödemi (p= 0,003) ve toraks kontüzyonu (p= 0,046) mortalite açısından anlamlıydı. Ayrıca tüm vücut BT taramalarında, patolojik bölge sayısı mortalite ile ilişkili bulunmadı (p= 0,587). ISS (p=0,001) ve GKS (p= 0,001)mortalite ilişkiliydi. Sonuç: Bulgularımıza dayanarak, major künt travma sonrası tüm vücut BT taraması kullanarak organ ve doku yaralanmalarını hızlı ve ayrıntılı bir şekilde tespit edebiliriz. Buna ek olarak gereksiz WBCT taramasının sayısını azaltmak için çoklu travma hastalarında çeşitli protokellere ihtiyaç vardır. Bu nedenle, ISS ve GKS mortalite belirteçleri olduğundan, tüm vücut BT taraması seçimi için yardımcı olabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | YAZICI M, Altuntaş G (2023). Whole-body computed tomography after major blunt trauma: is it necessary?. , 30 - 35. 10.22391/fppc.1205605 |
| Chicago | YAZICI Mümin Murat,Altuntaş Gürkan Whole-body computed tomography after major blunt trauma: is it necessary?. (2023): 30 - 35. 10.22391/fppc.1205605 |
| MLA | YAZICI Mümin Murat,Altuntaş Gürkan Whole-body computed tomography after major blunt trauma: is it necessary?. , 2023, ss.30 - 35. 10.22391/fppc.1205605 |
| AMA | YAZICI M,Altuntaş G Whole-body computed tomography after major blunt trauma: is it necessary?. . 2023; 30 - 35. 10.22391/fppc.1205605 |
| Vancouver | YAZICI M,Altuntaş G Whole-body computed tomography after major blunt trauma: is it necessary?. . 2023; 30 - 35. 10.22391/fppc.1205605 |
| IEEE | YAZICI M,Altuntaş G "Whole-body computed tomography after major blunt trauma: is it necessary?." , ss.30 - 35, 2023. 10.22391/fppc.1205605 |
| ISNAD | YAZICI, Mümin Murat - Altuntaş, Gürkan. "Whole-body computed tomography after major blunt trauma: is it necessary?". (2023), 30-35. https://doi.org/10.22391/fppc.1205605 |
| APA | YAZICI M, Altuntaş G (2023). Whole-body computed tomography after major blunt trauma: is it necessary?. Aile Hekimliği ve Palyatif Bakım, 8(2), 30 - 35. 10.22391/fppc.1205605 |
| Chicago | YAZICI Mümin Murat,Altuntaş Gürkan Whole-body computed tomography after major blunt trauma: is it necessary?. Aile Hekimliği ve Palyatif Bakım 8, no.2 (2023): 30 - 35. 10.22391/fppc.1205605 |
| MLA | YAZICI Mümin Murat,Altuntaş Gürkan Whole-body computed tomography after major blunt trauma: is it necessary?. Aile Hekimliği ve Palyatif Bakım, vol.8, no.2, 2023, ss.30 - 35. 10.22391/fppc.1205605 |
| AMA | YAZICI M,Altuntaş G Whole-body computed tomography after major blunt trauma: is it necessary?. Aile Hekimliği ve Palyatif Bakım. 2023; 8(2): 30 - 35. 10.22391/fppc.1205605 |
| Vancouver | YAZICI M,Altuntaş G Whole-body computed tomography after major blunt trauma: is it necessary?. Aile Hekimliği ve Palyatif Bakım. 2023; 8(2): 30 - 35. 10.22391/fppc.1205605 |
| IEEE | YAZICI M,Altuntaş G "Whole-body computed tomography after major blunt trauma: is it necessary?." Aile Hekimliği ve Palyatif Bakım, 8, ss.30 - 35, 2023. 10.22391/fppc.1205605 |
| ISNAD | YAZICI, Mümin Murat - Altuntaş, Gürkan. "Whole-body computed tomography after major blunt trauma: is it necessary?". Aile Hekimliği ve Palyatif Bakım 8/2 (2023), 30-35. https://doi.org/10.22391/fppc.1205605 |
