Thoracic Injuries Clinical Trial
Official title:
Prospective Evaluation of the Additional Value of Routine Thoraco-abdominal CT in Patients That Suffered Severe Blunt Trauma of the Abdomen/Thorax
The aim of this study is to establish the additional effectiveness and costs of routine thoraco-abdominal computed tomography (CT) in blunt trauma patients versus conventional radiological imaging and to determine which clinical parameters predict a high additional value of routine thoraco-abdominal CT.
The technological advances in computed tomography (CT), with faster image acquisition
resulting in higher resolution, result in making CT a more widely and intensively used
imaging modality in trauma patient care. Thoraco-abdominal CT in addition appears to have
additional diagnostic value compared to conventional radiography, especially in severely
injured trauma patients.
Nowadays, both clinical data and conventional radiology are used to determine which patient
should undergo body CT scanning. Currently there are no widely accepted guidelines for the
use of a "standard" TRAuma CT (TRACT). Although many retrospective and several prospective
cohort studies have been published on this topic, the data are not sufficient to sustain
evidence-based practice in decision-making.
The aim of this study is, to establish the additional effectiveness and costs of routine
thoraco-abdominal CT in blunt trauma patients versus conventional radiological imaging and
to determine which clinical parameters predict a high additional value of routine
thoraco-abdominal CT.
Consecutive trauma patients, who are at least 16 years old and are suffering from severe
injuries, undergo a standard trauma CT of the cervical spine, the thorax and abdomen after
clinical evaluation and conventional radiological workup.
Clinical, conventional and computed tomographic radiological assessment, costs, therapeutic
consequences and 6 months patient follow up are recorded and will be statistically analyzed.
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Observational Model: Cohort, Time Perspective: Prospective
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