Analýza traumat pacientů vyšetřovaných CT polytraumatickým protokolem

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F21%3AN0000059" target="_blank" >RIV/00098892:_____/21:N0000059 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61989592:15110/21:73609789

Výsledek na webu

<a href="http://www.achot.cz/detail.php?stat=1236" target="_blank" >http://www.achot.cz/detail.php?stat=1236</a>

DOI - Digital Object Identifier

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Jazyk výsledku

čeština

Název v původním jazyce

Analýza traumat pacientů vyšetřovaných CT polytraumatickým protokolem

Popis výsledku v původním jazyce

Účelem této studie bylo zhodnotit dostupné informace o pacientech s celotělovým CT a zjistit, zda je možné snížit počet vyšetření.

Název v anglickém jazyce

Trauma Analysis in Patients Examined by Whole-Body CT

Popis výsledku anglicky

PURPOSE OF THE STUDY The purpose of this study was to assess the available information on patients with a whole-body CT and to ascertain whether the number of examinations could be reduced. MATERIAL AND METHODS This retrospective study included all patients who underwent a whole-body CT in the University Hospital Olomouc during a period of one year. Epidemiologic data of patients and information about the trauma and injuries suffered were collected. The injuries were assessed using the Abbreviated Injury Scale and the Injury Severity Score and classified as high- and low-energy injuries. These two groups were subsequently compared. RESULTS A total of 338 patients were examined, of whom 75% were male and the median age of all patients was 48 years. The most frequent causes of trauma were road accidents in 53% and falls from height in 25%. Ninety-one percent of examined patients were admitted to hospital, 42% underwent a surgery and 3% died. The average ISS was 10.7 and the severity of injury increased with age (p = 0.01). The patients after an attempted suicide and those after motorbike and bike accidents had the highest ISS observed. A higher ISS was detected more often in high-energy traumas than in low-energy traumas (p = 0.002). A completely negative polytrauma CT scan finding was observed in 5 patients with low-energy trauma and in 9 patients with high-energy trauma. CONCLUSIONS High-energy injuries were shown to be associated with higher severity as well as more negative CT scans than lowenergy ones. Bearing in mind that a whole-body CT scan is an extensive examination in which relatively high doses of radiation are used, it should always be considered whether a selective CT of fewer body parts would not be sufficient for the diagnosis.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30224 - Radiology, nuclear medicine and medical imaging

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca

ISSN

0001-5415

e-ISSN

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Svazek periodika

88

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

5

Strana od-do

450-455

Kód UT WoS článku

000798817200008

EID výsledku v databázi Scopus

2-s2.0-85123651482