ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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1/2020
vol. 85
 
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Chest radiology
abstract:
Original paper

Rationality of using whole-body computed tomography in trauma patients

Wojciech Wierzchołowski
1
,
Jerzy Michał Walecki
2
,
Tomasz Latos
2

1.
Department of Radiology, Medical College, University of Zielona Góra, Zielona Góra, Poland
2.
Department of Radiology, Medical Centre for Postgraduate Education, Warsaw, Poland
© Pol J Radiol 2020; 85: e132-e136
Online publish date: 2020/03/09
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Purpose
Identification of the group of patients meeting the criteria of a severe multiple trauma (polytrauma) among those admitted to the regional trauma centre and subjected to whole-body computed tomography (WBCT) due to injuries. Identification the patients for whom WBCT was the optimal choice.

Material and methods
Retrospective analysis of the data of 303 patients undergoing WBCT in the period 2015-2017 with assessment of the injury severity based on the abbreviated injury scale (AIS) and injury severity score (ISS).

Results
Among 303 patients undergoing WBCT due to trauma, multiple injuries with ISS > 15 were found in 74 individuals (24.4%). After excluding patients whose limb fractures increased ISS above 15, the group decreased to 63 patients (20.8%). For these patients, the WBCT may be described as the optimal imaging method at an early stage of management.

Conclusions
Trauma patients are too often qualified for WBCT. Exposure to a high dose of ionising radiation associated with this modality requires critical analysis of the scope of indications and rules of conduct for trauma teams.

keywords:

trauma, whole-body computed tomography (WBCT), polytrauma, injury severity score (ISS)

 
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