CT Imaging in Motorcycle Collision Victimes: Routine or Selective?

This article reports on a study undertaken to evaluate the diagnostic benefits of liberal computed tomography (CT) scanning in multisystem blunt trauma motorcycle accident victims. The authors accessed the trauma registry at their community-based Level II center to identify consecutive motorcycle accident victims (n = 222) within a 55-month period who: 1) were evaluated on presentation by an attending trauma surgeon; and 2) underwent a head, cervical spine, chest, abdomen, or pelvis CT scan or any combination as part of their initial assessment. For those patients with clinically significant findings identified on CT, the percentage of those with negative clinical examinations was calculated. The results showed that many patients with clinically significant findings on head (48%), cervical spine (77%), thoracic (47%), and abdominal (69%) CT, respectively, had normal clinical examinations. The authors conclude by recommending lower thresholds for CT use in the evaluation of patients sustaining multisystem blunt trauma, even in the face of normal clinical examinations. This is especially true for the neck and abdominal regions.

  • Availability:
  • Authors:
    • Compoginis, John M
    • Akopian, Gabriel
  • Publication Date: 2009-10

Language

  • English

Media Info

Subject/Index Terms

Filing Info

  • Accession Number: 01150404
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Jan 30 2010 11:08AM