Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study
Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study
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DOI：
10.1016/s0140-6736(09)60232-4
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发表时间：
2009-04-01
期刊：
影响因子：
168.9
通讯作者：
Kanz, Karl-Georg
中科院分区：
文献类型：
--
作者：
Huber-Wagner, Stefan;Lefering, Rolf;Kanz, Karl-Georg
使用全身CT对原发性创伤进行早期评估的创伤中心数量正在增加。没有证据表明使用全身CT对严重创伤患者的结局有任何影响。方法在一项回顾性多中心研究中，我们使用德国创伤学会创伤登记处记录的数据，根据创伤和损伤严重程度评分（TRISS）、修订的损伤严重程度分类（RISC）评分、标准化死亡率（SMR，记录死亡率与预期死亡率之比）。结果1494例（32%）患者接受了全身CT检查。平均年龄为42.6岁（SD 20.7），3364例（73%）为男性，平均损伤严重程度评分为29.7（13.0）。基于TRISS的SMR在接受全身CT的患者中为0.745（95%CI 0.633-0.859），而在接受非全身CT的患者中为1.023（0.909-1.137）（p
Background The number of trauma centres using whole-body CT for early assessment of primary trauma is increasing. There is no evidence to suggest that use of whole-body CT has any effect on the outcome of patients with major trauma. We therefore compared the probability of survival in patients with blunt trauma who had whole-body CT during resuscitation with those who had not.Methods In a retrospective, multicentre study, we used the data recorded in the trauma registry of the German Trauma Society to calculate the probability of survival according to the trauma and injury severity score (TRISS), revised injury severity classification (RISC) score, and standardised mortality ratio (SMR, ratio of recorded to expected mortality) for 4621 patients with blunt trauma given whole-body or non-whole-body CT.Findings 1494 (32%) of 4621 patients were given whole-body CT. Mean age was 42.6 years (SD 20.7), 3364 (73%) were men, and mean injury-severity score was 29.7 (13.0). SMR based on TRISS was 0.745 (95% CI 0.633-0.859) for patients given whole-body CT versus 1.023 (0.909-1.137) for those given non-whole-body CT (p