TY  - JOUR
TI  - Does Flattened IVC on CT Can Show Hypovolemia in Trauma Patients?
AB  - Aim In this study, we investigated the relationship between IVC flattening detected in the CT and vital signs, blood transfusion requirement and patient outcome in patients with blunt torso trauma.Material and MethodsPatients older than 18 years of age who presented to the emergency department (ED) with blunt torso trauma and underwent abdominal CT were included in this retrospective study. IVC diameter was measured above and below the level of the renal veins. The CT images were evaluated by three emergency medicine attending physicians. An anteroposterior diameter less than half of the transverse diameter was defined as IVC flattening.ResultsSeventy-four patients were enrolled in the study. Because of motion artifacts and inability to distinguish the IVC from the surrounding tissues, IVC measurements could not be carried out properly in 3 patients. One patient lacked both upper and lower IVC measurement results and 2 patients lacked upper IVC measurement results. Of the 71 patients in whom the measurements were made above the level of the renal veins, 21 had IVC flattening. There was a statistically significant difference between patients with flattened and non-flattened IVC by means of initial hemoglobin values (p = 0.044) and applied blood transfusions (p = 0.027). Of the 73 patients in whom the measurements were made below the level of the renal veins, 16 had IVC flattening. There was a significant difference between patients with flattened and non-flattened IVC by means of initial hemoglobin values (p = 0.042). There was no significant difference between the suprarenal and infrarenal measurement groups with respect to intensive care hospitalization and mortality rates.ConclusionIn patients with blunt torso trauma, the measurement of the IVC above the renal veins may predict the severity of hypovolemia and the amount of blood transfusion required. While the CT images are examined, the examination of the inferior vena cava may give information on the volume status of the trauma patients.
AU  - arslan, can erkan
AU  - yesilaras, murat
AU  - Duman Atilla, Ozge
PY  - 2020
JO  - Anatolian Journal of Emergency Medicine
VL  - 3
IS  - 1
SN  - 2651-4311
SP  - 1
EP  - 5
DB  - TRDizin
UR  - http://search/yayin/detay/496377
ER  -