Chest computed tomography for penetrating thoracic trauma after normal screening chest roentgenogram

The Annals of Thoracic Surgery
Nathan M MollbergMalek G Massad

Abstract

Chest computed tomography (CCT) is a method of screening for intrathoracic injuries in hemodynamically stable patients with penetrating thoracic trauma. The objective of this study was to examine the changes in utilization of CCT over time and evaluate its contribution to guiding therapeutic intervention. A level 1 trauma center registry was queried between 2006 and 2011. Patients undergoing CCT in the emergency department after penetrating thoracic trauma as well as patients undergoing thoracic operations for penetrating thoracic trauma were identified. Patient demographics, operative indications, use of CCT, injuries, and hospital admissions were analyzed. In all, 617 patients had CCTs performed, of whom 61.1% (371 of 617) had a normal screening plain chest radiograph (CXR). In 14.0% (51 of 371) of these cases, the CCT revealed findings not detected on screening CXR. The majority of these injuries were occult pneumothoraces or hemothoraces (84.3%; 43 of 51), of which 27 (62.8%) underwent tube thoracostomy. In only 0.5% (2 of 371), did the results of CCT alone lead to an operative indication: exploration for hemopericardium. The use of CCT in our patients significantly increased overall (28.8% to 71.4%) as well as after a norm...Continue Reading

References

May 1, 1994·The Journal of Trauma·G J OrdogW Shoemaker
Nov 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K K NagyJ Barrett
Mar 5, 1999·Journal of the American College of Surgeons·D DemetriadesF Bongard
Oct 19, 2000·The Journal of Trauma·D E HanpeterJ Murray
Jun 25, 2005·Surgery Today·Murat AksoyMehmet Kurtoglu
Dec 13, 2006·American Journal of Surgery·Renae E StaffordLacey Washington
Jan 30, 2007·The Annals of Thoracic Surgery·Joshua H BurackMichael E Zenilman
Apr 7, 2007·The Journal of Trauma·David PluradPeter Rhee
Sep 12, 2008·The Journal of Trauma·Mark J SeamonAmy J Goldberg
Nov 11, 2009·The Journal of Trauma·Chad G BallDavid V Feliciano
Jan 13, 2010·The Journal of Trauma·James V O'Connor, Thomas M Scalea
Feb 11, 2011·The Journal of Trauma·Nathan T MoweryErik Streib

❮ Previous
Next ❯

Citations

Nov 11, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Martin L GunnClaire K Sandstrom
Jan 9, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·L Seidzadeh GooklanA Mirafzal
Aug 8, 2015·The Indian Journal of Surgery·M Aghaei AfsharA Nakhaei
Oct 21, 2016·Intensive Care Medicine·Matthieu Legrand, Rob Russell
Aug 5, 2017·The Journal of Trauma and Acute Care Surgery·Adam Lee Goldstein, Dror Soffer
Jan 5, 2019·Southern Medical Journal·David OngSteven Schauer
Oct 6, 2018·Annals of the Royal College of Surgeons of England·Kss DayanandaD L Clarke
Aug 14, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Pascal AugustinPhilippe Montravers
May 7, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pascal AugustinAlexy Tran-Dinh
Oct 23, 2015·Radiology·David Dreizin, Felipe Munera
May 4, 2018·Interactive Cardiovascular and Thoracic Surgery·Bassam DarwishMohammad Bashar Izzat

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Annals of Thoracic Surgery
Kenneth L Mattox
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
S SobnachPradeep H Navsaria
Radiologic Clinics of North America
Kathirkamanathan Shanmuganathan, Junichi Matsumoto
© 2021 Meta ULC. All rights reserved