A pilot study to derive clinical variables for selective chest radiography in blunt trauma patients

Annals of Emergency Medicine
Robert M RodriguezAnna Bjoring

Abstract

The goal of this pilot study was to determine whether clinical criteria can identify blunt trauma patients with significant acute intrathoracic injury on chest radiograph. From January 2003 to May 2004, adult blunt trauma patients who received chest radiographs were prospectively enrolled at 2 urban trauma centers. Exclusion criteria were age less than 15 years, penetrating trauma, trauma more than 72 hours before presentation, isolated head trauma, and Glasgow Coma Scale score less than 14. Before chest radiograph viewing, providers recorded the following data: mechanism of injury, vital signs including oxygen saturation, patient symptoms, intoxication, distracting injuries, and the presence or finding of visible chest wall injury, chest palpation tenderness, pain on lateral chest compression, crepitus, and abnormal chest auscultation. Significant acute intrathoracic injury was defined as pneumothorax, hemothorax, aortic injury, 2 or more rib fractures, sternal fracture, or pulmonary contusion by blinded radiologist chest radiograph interpretation. Of the 507 enrolled patients, 15 patients were excluded because chest radiograph was not performed. Significant acute intrathoracic injury was confirmed in 31 of 492 (6.3%) patients...Continue Reading

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Citations

Aug 31, 2006·Der Unfallchirurg·C Waydhas, D Nast-Kolb
Sep 18, 2009·European Radiology·Monique BrinkJohan G Blickman
Apr 22, 2010·World Journal of Surgery·Stephen M Cohn, Joseph J Dubose
Jun 26, 2013·The American Journal of Emergency Medicine·Bory KeaRobert M Rodriguez
Nov 8, 2011·The Journal of Emergency Medicine·Georgina CalderonRobert M Rodriguez
Mar 16, 2011·Revue des maladies respiratoires·J-P Avaro, P-M Bonnet
Nov 9, 2010·The American Journal of Emergency Medicine·Shahram PaydarMaryam Sharifian
Sep 10, 2010·The American Journal of Emergency Medicine·Clay B SmithKeith D Wrenn
Feb 5, 2010·International Emergency Nursing·Caesar Ursic, Kate Curtis
Sep 18, 2007·The American Journal of Emergency Medicine·Elizabeth DillardThomas J Esposito
Oct 21, 2006·Annals of Emergency Medicine·Bruce D Adams
Apr 25, 2006·Annals of Emergency Medicine·David L Schriger
Apr 25, 2006·Annals of Emergency Medicine·William R Mower
Apr 25, 2006·Annals of Emergency Medicine·Henry M Cryer
Sep 27, 2014·Emergency Medicine Australasia : EMA·Mohammad Mehdi ForouzanfarMorteza Sanei Taheri
May 11, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ali S RajaRobert M Rodriguez
Sep 3, 2016·World Journal of Emergency Surgery : WJES·Alan L BealGreg A Beilman
Oct 29, 2017·European Radiology·Denis TackPierre Alain Gevenois
Nov 4, 2010·The Journal of Trauma·Robert M RodriguezJerome R Hoffman
Mar 24, 2016·World Journal of Emergency Medicine·Kadir AgladiogluOzgur Karcioglu
Nov 7, 2019·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Saeed SafariNavid Mokhtari
Jun 29, 2021·The American Journal of Emergency Medicine·David G Dillon, Robert M Rodriguez

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