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Repeat computed tomography for trauma patients undergoing transfer to a Level I trauma center
Andrew Joseph Young1, Kenneth Sadler Meyers, Luke Wolfe
1Medical College of Virginia, Physicians and Hospitals, Virginia Commonwealth University Health System, Division of Trauma/Critical Care and Emergency Surgery, Richmond, Virginia, USA. ayoung3@mcvh-vcu.edu
The American Surgeon
|May 31, 2012
Summary
Repeat CT scans in trauma transfer patients were more common in older, severely injured individuals with blunt trauma. Younger, less injured patients often did not receive repeat imaging, suggesting adequate initial care.
Area of Science:
- Trauma Surgery
- Radiology
- Patient Outcomes
Background:
- Trauma transfer patients often undergo repeat imaging.
- Characteristics influencing repeat imaging decisions are not well-defined.
Purpose of the Study:
- To identify patient characteristics associated with repeat computed tomography (CT) scans in trauma transfer patients.
- To understand factors influencing the decision for repeat imaging in this population.
Main Methods:
- Retrospective review of a trauma registry from January 2005 to December 2009.
- Inclusion of 2678 trauma patients transferred from referring institutions.
- Comparison of patients with and without repeat CT scans.
Main Results:
- 21% of trauma transfer patients received at least one repeat CT scan.
- Repeat CT scans were associated with older age, higher Injury Severity Score (ISS), and blunt trauma.
- Younger patients with lower ISS and shorter lengths of stay were less likely to have repeat scans.
Conclusions:
- Age and ISS are independent predictors for repeat CT scans in trauma transfer patients.
- Repeat imaging occurs in one-fifth of transfer patients.
- Less injured, younger patients may receive adequate care without repeat imaging at the receiving facility.
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