CT scan incidental findings in trauma patients: does it impact hospital length of stay?

Trauma Surgery & Acute Care Open
Peter AndrawesCharles Fasanya

Abstract

CT scans are heavily relied on for assessment of solid organ injuries complementing clinical examination. These CT scans could also reveal pathologies not related to trauma called incidental findings. We aimed to evaluate the frequency of these findings and their outcome on hospital services. A retrospective chart review of prospectively collected data of the emergency department's trauma database from January 2005 to December 2011 to evaluate incidental findings on CT scans on trauma admissions. These incidental findings were divided into three classes: class 1-minor degenerative, non-degenerative, normal variants or congenital finding that does not require further investigation or workup; class 2-findings not requiring urgent intervention with scheduled outpatient follow-up and class 3-all findings that require urgent evaluation/further investigation during the same hospital admission. One-year follow-up was done to review hospital length of stay, trauma clinic follow-up and post-trauma surgery. Of 1000 charts reviewed, 957 were selected after 43 patients were excluded due to incomplete documentation. Of the 957 patients, 385 (40%) were found to have incidental findings. A total of 560 incidental findings were found on the CT...Continue Reading

References

Mar 21, 2006·Clinical Radiology·M A SampsonN L M Hennessy
Oct 24, 2006·AJR. American Journal of Roentgenology·Sanjay K ShettySuzanne L Aquino
Jan 12, 2007·The Journal of Trauma·Gordon G WisbachStephen S Kaminski
Jan 12, 2007·The Journal of Trauma·Thomas R PaluskaMichael Biondi
Mar 1, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Zeev V MaizlinJacqueline A Brown
Feb 24, 2009·The Journal of Emergency Medicine·Akpofure Peter EkehMary C McCarthy
Feb 24, 2009·AJR. American Journal of Roentgenology·Richard BarbozaShella Farooki
Jun 27, 2009·The American Journal of Emergency Medicine·Tyler W BarrettKeith Wrenn
Oct 5, 2010·Journal of the American College of Radiology : JACR·Lincoln L BerlandAndrew J Taylor
Nov 3, 2011·Emergency Medicine International·Ryan J ThompsonPaul Y Ko
Oct 26, 2013·The Journal of Trauma and Acute Care Surgery·Miriam RuesselerFelix Walcher
Nov 21, 2013·Injury·J C SierinkJ C Goslings

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Citations

Aug 7, 2019·Journal of Medical Imaging and Radiation Oncology·Numan KutaibaAdam Testro
Mar 16, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hans-Jonas MeyerAlexey Surov
Jun 10, 2020·European Journal of Radiology·Pierre BergeChristophe Aubé

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Methods Mentioned

BETA
ISS
biopsies
biopsy

Software Mentioned

SAS ( Statistical Analysis System )

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