The use of whole body computed tomography scans in pediatric trauma patients: Are there differences among adults and pediatric centers?

Journal of Pediatric Surgery
Viraj PanditBellal Joseph

Abstract

Whole body CT (WBCT) scan is known to be associated with significant radiation risk especially in pediatric trauma patients. The aim of this study was to assess the use WBCT scan across trauma centers for the management of pediatric trauma patients. We performed a two year (2011-2012) retrospective analysis of the National Trauma Data Bank. Pediatric (age≤18years) trauma patients managed in level I or II adult or pediatric trauma centers with a head, neck, thoracic, or abdominal CT scan were included. WBCT scan was defined as CT scan of the head, neck, thorax, and abdomen. Patients were stratified into two groups: patients managed in adult centers and patients managed in designated pediatric centers. Outcome measure was use of WBCT. Multivariate logistic regression analysis was performed. A total of 30,667 pediatric trauma patients were included of which; 38.3% (n=11,748) were managed in designated pediatric centers. 26.1% (n=8013) patients received a WBCT. The use of WBCT scan was significantly higher in adult trauma centers in comparison to pediatric centers (31.4% vs. 17.6%, p=0.001). There was no difference in mortality rate between the two groups (2.2% vs. 2.1%, p=0.37). After adjusting for all confounding factors, pediatr...Continue Reading

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Citations

Nov 2, 2016·International Journal of Environmental Research and Public Health·Kristy R KutanziIsabelle R Miousse
Nov 30, 2016·The Surgical Clinics of North America·Sabrina DrexelMubeen A Jafri
Jun 5, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Katherine V BiagasChristopher S Muratore
Dec 5, 2017·Pediatric Emergency Care·Abdulrahman M AlzahemDaniel T Cass
Feb 4, 2021·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Melanie Thanh Phuong LeMichael Boettcher
Dec 7, 2020·The Journal of Surgical Research·Ayman AliSharven Taghavi
Sep 25, 2021·The Journal of Trauma and Acute Care Surgery·John R AustinStephanie D Chao

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