Value of Thoracic Computed Tomography in the First Assessment of Severely Injured Patients with Blunt Chest Trauma

Trupka, A.; Waydhas, Christian; Hallfeldt, Klaus; Nast-Kolb, D.; Pfeifer, K. J.; Schweiberer, L.

doi:10.1097/00005373-199709000-00003

Cited by 287 publications

(181 citation statements)

References 36 publications

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“…A report [11] advocated that TCT may be helpful in the treatment of hemodynamically stable patients with blunt chest trauma. On the contrary, others [6,12,13] suggested that TCT should be withheld in the initial management of patients.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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show abstract

“…Early diagnosis and consequent specific interventions are fundamental issues in traumatic injury of the lung (14). CT scan plays a key role in the management of chest trauma and it has a considerable impact on the following therapeutic decisions (14).…”

Section: Discussionmentioning

confidence: 99%

“…CT scan plays a key role in the management of chest trauma and it has a considerable impact on the following therapeutic decisions (14). The introduction in the clinical practice of multidetector CT allows rapid and complete definition of all lesions in polytrauma patients (15).…”

Section: Discussionmentioning

confidence: 99%

Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Chiarelli¹,

Gerosa²,

Guttadauro³

et al. 2016

J. Thorac. Dis.

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“…CT scans form the mainstay of diagnosis and evaluation unlike Chest Radiographs. 4 Though technically less morbid, management by endovascular stents is not ideally suited for most thoracic aortic injuries. 5 Surgery remains the mainstay of any possible salvage, but perfusion, metabolism, and oxygen delivery to the spinal cord during the vulnerable period of aortic occlusion is crucial.…”

Section: Discussionmentioning

confidence: 99%