Systematic review of selective radiological procedures of injured patients compared to immediate full body computed tomography

Elio Arruzza, Shayne Chau, Janine Dizon

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Abstract

Objective: Trauma is a leading cause of mortality globally.1 The high diagnostic accuracy of computed tomography (CT) compared to other modalities makes it an attractive imaging tool for initial trauma imaging, despite its high radiation dose.2 This review assessed the value of immediate full-body CT as part of the primary survey, in comparison to selective conventional radiological procedures in terms of mortality rate, emergency department/hospital/intensive care unit length of stay, duration of mechanical ventilation, and incidence of multiple organ dysfunction syndrome/multiple organ failure.Methods: A search strategy was developed using the keywords: computed tomography OR CT AND X-ray OR other imaging modalities AND trauma. Keywords were applied in the following electronic databases: Scopus, Cochrane and PUBMED. Reference list of included studies were searched for additional references. Studies were limited to diagnostic studies, English and from 1947 to present. Assessment of study quality was conducted using CASP for Diagnostic Studies. Data was analysed using statistical pooling. The review protocol was registered in PROSPERO.Results: A total of 1570 titles and abstracts through literature search were obtained and after screening for abstracts, 1546 duplicates and non-relevant studies were excluded. The remaining 24 studies were fully read. Final results are pending but will be available at time of presentation.Conclusion: Preliminary data suggests that full-body CT demonstrates a decrease in mortality and emergency department length of stay. Findings on other outcomes will be discussed at the presentation. Further randomised controlled studies are warranted to investigate the viability of full-body CT for trauma patients.
Original languageEnglish
Pages (from-to)80-80
Number of pages1
JournalJournal of Medical Radiation Sciences
Volume68
Issue numberS1
DOIs
Publication statusPublished - Jun 2021

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