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[Multislice CT in diagnostic work-up of polytrauma]
1Fachbereich Unfallmedizin und Sozialversicherung, Fachhochschule Bonn-Rhein-Sieg, Hennef. axel.prokop@uk-koeln.de
Der Unfallchirurg
|April 26, 2006
Summary
Severely injured patients benefit from rapid diagnosis using spiral CT scans. Shorter emergency department (ED) times correlate with reduced intensive care unit (ICU) and overall hospital stays.
Area of Science:
- Emergency Medicine
- Radiology
- Trauma Surgery
Background:
- Diagnostic procedures for severely injured patients must be rapid.
- Spiral CT technology can minimize diagnostic time.
Purpose of the Study:
- To determine if severely injured patients benefit from primary diagnostic examinations completed in under 30 minutes.
- To quantify time spent in the emergency department (ED) versus CT scanning for primary trauma diagnosis.
Main Methods:
- Retrospective evaluation of 100 severely injured patients (ISS > 16) between 2001-2003.
- Patients underwent total body spiral CT scans after initial ultrasonography.
- Siemens Somatom Volume Zoom Multislice CT was utilized.
Main Results:
- Average ED time before CT was 33 minutes; CT scan duration was 16 minutes, totaling 48 minutes for diagnosis.
- Fifty percent of patients proceeded directly to the operating room.
- Hospital mortality was 13%, with an average hospital stay of 30 days and ICU stay of 10 days.
Conclusions:
- Shorter ED times are associated with reduced ICU and total hospitalization durations, irrespective of injury severity.
- Structured management and reduced diagnostic time via spiral CT decreased ED time from 85 to 48 minutes.
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