Is it adequate to carry out a chest-CT in patients with mild-moderate chest trauma?

被引：1

作者：

Garcia de Pereda de Blas, V. ^{[1
]}

Carreras Aja, M. ^{[2
]}

Carbajo Azabal, S. ^{[3
]}

Arana-Arri, E. ^{[4
]}

机构：

[1] Hosp Urduliz Alfredo Espinosa, Serv Radiodiagnost, Urduliz, Vizcaya, Spain

[2] Hosp Univ Cruces, Serv Radiodiagnost, Baracaldo, Vizcaya, Spain

[3] Hosp Univ Cruces, Serv Urgencias, Baracaldo, Vizcaya, Spain

[4] Inst Invest Sanitaria BioCruces, Baracaldo, Vizcaya, Spain

来源：

RADIOLOGIA | 2018年 / 60卷 / 04期

关键词：

Chest trauma; Chest-CT; Emergency; Evidence based medicine;

D O I：

10.1016/j.rx.2017.09.002

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Mild-moderate blunt chest trauma is defined as a blunt chest trauma that is not caused by a high-energy mechanism, causing thoracic tenderness with or without rib fractures and that has no immediate life-threatening consequences for the patient. It is a frequent clinical situation in the emergency department. The most common radiological techniques that are used in this context are chest x-ray and thoracic computed tomography (CT). The CT scan is set as the gold standard. However, there are no current clinical-radiological guidelines that establish the adequacy of the requests of the CT scan. Therefore, we decided to search for evidence-based recommendations to improve the adequacy of the chest x-ray and CT scan in our daily practice in order to reduce the costs and avoid unnecessary radiation exposure. (C) 2017 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页码：345 / 348

页数：4

共 8 条

[1] Predicting outcomes after blunt chest wall trauma: development and external validation of a new prognostic model
Battle, Ceri Elisabeth
Hutchings, Hayley
Lovett, Simon
Bouamra, Omar
Jones, Sally
Sen, Aruni
Gagg, James
Robinson, David
Hartford-Beynon, Jake
Williams, Jeremy
Evans, Adrian
[J]. CRITICAL CARE, 2014, 18 (03):
[2] ACR Approprteness Criteria Blunt Chest Trauma
Chung, Jonathan H.
Cox, Christian W.
Mohammed, Tan-Lucien H.
Kirsch, Jacobo
Brown, Kathleen
Dyer, Debra Sue
Ginsburg, Mark E.
Heitkamp, Darel E.
Kanne, Jeffrey P.
Kazerooni, Ella A.
Ketai, Loren H.
Ravenel, James G.
Saleh, Anthony G.
Shah, Rakesh D.
Steiner, Robert M.
Suh, Robert D.
[J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2014, 11 (04) : 345 - 351
[3] Accessing preappraised evidence: fine-tuning the 5S model into a 6S model
DiCenso, Alba
Bayley, Liz
Haynes, R. Brian
[J]. ANNALS OF INTERNAL MEDICINE, 2009, 151 (06)
[4] Villar CG, 2014, RADIOLOGIA-MADRID, V56, P451, DOI [10.1016/j.rx.2014.07.007, 10.1016/j.rx.2014.02.002]
[5] Haynes R Brian, 2006, Evid Based Med, V11, P162
[6] Nejati A, 2012, Adv Biomed Res, V1, P22, DOI 10.4103/2277-9175.98125
[7] Derivation and Validation of Two Decision Instruments for Selective Chest CT in Blunt Trauma: A Multicenter Prospective Observational Study (NEXUS Chest CT)
Rodriguez, Robert M.
Langdorf, Mark I.
Nishijima, Daniel
Baumann, Brigitte M.
Hendey, Gregory W.
Medak, Anthony J.
Raja, Ali S.
Allen, Isabel E.
Mower, William R.
[J]. PLOS MEDICINE, 2015, 12 (10)
[8] Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma
Rodriguez, Robert M.
Anglin, Deirdre
Langdorf, Mark I.
Baumann, Brigitte M.
Hendey, Gregory W.
Bradley, Richard N.
Medak, Anthony J.
Raja, Ali S.
Juhn, Paul
Fortman, Jonathan
Mulkerin, William
Mower, William R.
[J]. JAMA SURGERY, 2013, 148 (10) : 940 - 946

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