Incidental findings in blunt trauma patients: prevalence, follow-up documentation, and risk factors

James, Melissa K.; Francois, Michael P.; Yoeli, Gideon; Doughlin, Geoffrey K.; Lee, Shi-Wen

doi:10.1007/s10140-017-1479-5

Cited by 33 publications

(24 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No difference was seen in the severity of trauma, age, or length of hospital stay, and although incidental findings were commonly noted in the liver or kidneys, closer examination was often required for incidental findings related to the lungs. Regarding the recognition of incidental findings, James et al . reported that only 12 of 416 trauma patients (1.4%) in whom incidental findings were identified had their incidental findings documented at the time of hospital discharge, whereas Fakler et al .…”

Section: Discussionmentioning

confidence: 99%

Incidental findings on whole‐body computed tomography in trauma patients: the current state of incidental findings and the effect of implementation of a feedback system

Kumada

Murakami

Okada

et al. 2019

Acute Medicine & Surgery

View full text Add to dashboard Cite

Aim Whole‐body computed tomography (CT) for trauma occasionally reveals significant incidental findings not related to trauma, which require an adequate response. In this study, we examined the current state of incidental findings in trauma patients on whole‐body CT and the effects of the feedback system. Methods The subject sample included trauma patients who underwent whole‐body CT while being examined for trauma during the 2‐year period, with the interpretation of the CT reported by a radiologist. The frequency and recognition of incidental findings and the involved body region were investigated. The state of incidental findings before and after implementation of a radiography report feedback system was also examined. Results During the study period, whole‐body CT revealed incidental findings in 79 of 199 trauma patients (40.1%). The mean age of the 79 patients with incidental findings was 62.8 ± 19.5 years, and the mean injury severity score was 16.6 ± 10.0. No difference was observed in the severity of trauma, age, or length of hospital stay. The incidental findings were related to the liver/gallbladder in 22 patients, kidneys in 17, lungs in 14, and the intracranial area in 13. The recognition rate of incidental findings after the implementation of the feedback system increased from 23.3% to 32.6%. Conclusions Considering that not all incidental findings are accurately recognized, a proper feedback system is required. A feedback system is beneficial and a need to ensure improvement in the recognition of incidental findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidental findings on whole‐body computed tomography in trauma patients: the current state of incidental findings and the effect of implementation of a feedback system

Kumada

Murakami

Okada

et al. 2019

Acute Medicine & Surgery

View full text Add to dashboard Cite

show abstract

“…In whole-body CT studies investigating traumatic pathologies due to blunt trauma, the most common incidental chest finding is pulmonary nodules, followed by atherosclerosis [14]. Detection of infection, infiltration, and pleural findings was also very low in other publications [2,15,16].…”

Section: Discussionmentioning

confidence: 96%

Incidental thorax imaging findings in abdominal computed tomography: Results of a tertiary center

Kaplan¹,

Çil²

2021

Journal of Surgery and Medicine

View full text Add to dashboard Cite

show abstract

“…Comments: None Comments: None respectively [19,65,66,144]. Interpretation should occur three times (immediately using first images, immediately reassessed using the final images and reassessed again by a different radiologist within 24 h) [141,144,146]. ESER endorses abandoning a 'one-size-fits-all-concept' ([63]-p.1142).…”

Section: Discussionmentioning

confidence: 99%

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

et al. 2020

View full text Add to dashboard Cite

Background Although some national recommendations for the role of radiology in a polytrauma service exist, there are no European guidelines to date. Additionally, for many interdisciplinary guidelines, radiology tends to be under-represented. These factors motivated the European Society of Emergency Radiology (ESER) to develop radiologically-centred polytrauma guidelines. Results Evidence-based decisions were made on 68 individual aspects of polytrauma imaging at two ESER consensus conferences. For severely injured patients, whole-body CT (WBCT) has been shown to significantly reduce mortality when compared to targeted, selective CT. However, this advantage must be balanced against the radiation risk of performing more WBCTs, especially in less severely injured patients. For this reason, we recommend a second lower dose WBCT protocol as an alternative in certain clinical scenarios. The ESER Guideline on Radiological Polytrauma Imaging and Service is published in two versions: a full version (download from the ESER homepage, https://www.eser-society.org) and a short version also covering all recommendations (this article). Conclusions Once a patient has been accurately classified as polytrauma, each institution should be able to choose from at least two WBCT protocols. One protocol should be optimised regarding time and precision, and is already used by most institutions (variant A). The second protocol should be dose reduced and used for clinically stable and oriented patients who nonetheless require a CT because the history suggests possible serious injury (variant B). Reading, interpretation and communication of the report should be structured clinically following the ABCDE format, i.e. diagnose first what kills first.

show abstract

Incidental findings in blunt trauma patients: prevalence, follow-up documentation, and risk factors

Abstract: A large percentage of trauma patients have incidental findings. Therefore, better documentation and follow-up are needed to determine the long-term outcomes of patients with clinically relevant incidental findings.

Cited by 33 publications

References 23 publications

Incidental findings on whole‐body computed tomography in trauma patients: the current state of incidental findings and the effect of implementation of a feedback system

Incidental findings on whole‐body computed tomography in trauma patients: the current state of incidental findings and the effect of implementation of a feedback system

Incidental thorax imaging findings in abdominal computed tomography: Results of a tertiary center

European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Contact Info

Product

Resources

About