Provider Perceptions Concerning Use of Chest X-Ray Studies in Adult Blunt Trauma Assessments

Calderon, Georgina; Pérez, Daniel; Fortman, Jonathan; Kea, Bory; Rodriguez, Robert M.

doi:10.1016/j.jemermed.2011.06.045

Cited by 10 publications

(6 citation statements)

References 15 publications

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“…All patients underwent conventional chest radiography, and computerized thorax tomography, as suggested [ 16 , 17 ], and complete blood counts were analyzed.…”

Section: Methodsmentioning

confidence: 99%

Age differences in blunt chest trauma: a cross-sectional study

Kapıcıbaşı

2020

kitp

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Introduction: Trauma is the most common cause of presentation to hospital emergency services. After extremity and cranial injuries, blunt thoracic trauma is the third most common injury. Aim: In this study, we aimed to present and assess blunt chest trauma in adults aged below 65 and elderly (age ≥ 65). Material and methods: In this study, 130 patients (86 young (age 18-64) and 44 elderly (age ≥ 65)) who applied to the emergency department with blunt thoracic trauma between October 2017 and October 2019 were evaluated retrospectively. Results: Of the patients, 99 (76.1%) were male, and 31 (23.9%) were female. The mean age was 54.41 ±20.13 years, and the patients were between 18 and 95 years of age. The most common cause of blunt thoracic trauma in the elderly group was a fall (n = 27; 61.3%), while in-vehicle traffic accident was most common in the young group (n = 43; 50%). "Flail chest," which is observed as a complication after multiple rib fractures, was present in 1 patient in the young group and in 10 patients in the elderly group; the difference was statistically significant (p > 0.05). Seven (5.3%) patients died. The mean hospital stay was 5.1 (1-60) days, which was borderline-significantly higher in the elderly group (p = 0.056). Conclusions: Due to its life-threatening properties, the detection of blunt thorax trauma is a priority among multipletrauma patients. For this reason, an aggressive diagnosis and treatment approach is essential in the whole patient group, especially among the elderly.

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“…All patients underwent conventional chest radiography, and computerized thorax tomography, as suggested [ 16 , 17 ], and complete blood counts were analyzed.…”

Section: Methodsmentioning

confidence: 99%

Age differences in blunt chest trauma: a cross-sectional study

Kapıcıbaşı

2020

kitp

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“…Because of concerns about using unnecessary X-Rays in patients with blunt trauma and about excessive radiation dose on body, a study was performed. Although the role of CXR in detecting significant intra-thoracic injuries was very low, it was believed that it was standard part of trauma work up (34). Another study sought to evaluate performing CXR in patients with blunt trauma and found that these patients did not need CXR routinely if they were stable and if they had no symptoms (35).…”

Section: Discussionmentioning

confidence: 99%

Necessity of Emergency Chest X-ray in a Patient with Multiple Trauma with Injury Severity Score >15

Ala¹,

Vahdati²,

Majidi³

et al. 2020

Eurasian J Emerg Med

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Thoracic trauma is the most important type of emergency traumas, which can cause complications. Accurate follow up of patients, repeated examinations and regular paraclinical tests are helpful in the prevention of serious complications in these patients. Regular and control thoracic radiographies are performed in many centers with interval of 6-8 hours to follow up complications in stable patients. There are different ideas about follow up procedure and interval between actions. Some believe that even 3 hours is adequate for monitoring in patients with asymptomatic penetrating trauma (4).

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“…The diagnostic accuracy of CXR in detecting major injuries is between 6.3% and 12.4%. [1] TCT is viewed as a "gold standard" imaging modality in the ED. The present study investigated the value of CXR in detecting chest injuries in a large number of hemodynamically stable patients with blunt trauma compared to the previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Both conventional radiography (chest X-ray, CXR) and thoracic computed tomography (TCT) are commonly used in the emergency setting. [1,2] CXR has a low rate of sensitivity and specificity in detecting thoracic injuries in hemodynamically stable patients with blunt chest trauma. Thus the rate of TCT orders is high in patients with such a trauma.…”

Section: Introductionmentioning

confidence: 99%

Chest X-rays in detecting injuries caused by blunt trauma

Ağladıoğlu¹,

Serinken²,

Dal³

et al. 2016

World Journal of Emergency Medicine

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BACKGROUND:The appropriate sequence of different imagings and indications of thoracic computed tomography (TCT) in evaluating chest trauma have not yet been clarifi ed at present. The current study was undertaken to determine the value of chest X-ray (CXR) in detecting chest injuries in patients with blunt trauma. METHODS:A total of 447 patients with blunt thoracic trauma who had been admitted to the emergency department (ED) in the period of 2009-2013 were retrospectively reviewed. The patients met inclusion criteria (age>8 years, blunt injury to the chest, hemodynamically stable, and neurologically intact) and underwent both TCT and upright CXR in the ED. Radiological imagings were re-interpreted after they were collected from the hospital database by two skilled radiologists. RESULTS:Of the 447 patients, 309 (69.1%) were male. The mean age of the 447 patients was 39.5±19.2 (range 9 and 87 years). 158 (35.3%) patients were injured in motor vehicle accidents (MVA). CXR showed the highest sensitivity in detecting clavicle fractures ] but the lowest in pneuomediastinum ]. The specifi city of CXR was close to 100% in detecting a wide array of entities.CONCLUSION: CXR remains to be the fi rst choice in hemodynamically unstable patients with blunt chest trauma. Moreover, stable patients with normal CXR are candidates who should undergo TCT if signifi cant injury has not been ruled out.

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Provider Perceptions Concerning Use of Chest X-Ray Studies in Adult Blunt Trauma Assessments

Cited by 10 publications

References 15 publications

Age differences in blunt chest trauma: a cross-sectional study

Age differences in blunt chest trauma: a cross-sectional study

Necessity of Emergency Chest X-ray in a Patient with Multiple Trauma with Injury Severity Score >15

Chest X-rays in detecting injuries caused by blunt trauma

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