Crouse Health Online: Wellness is just a click away.
Share Share
  |  Connect with Us: 
large
med
small
Text Size
 

Health News



Whole-Body CT Scans Can Miss Traumatic Injuries: Study

Whole-Body CT Scans Can Miss Traumatic Injuries: Study

03/05/12

MONDAY, March 5 (HealthDay News) -- Whole-body CT scans can confirm immediately whether severe trauma patients have certain injuries, but these tests could miss other serious problems if performed too early, a new study indicates.

The German researchers concluded that most emergency-room CT scans are done too soon, and could miss significant internal injuries. For the best results, the study authors concluded, emergency-room doctors should wait at least 30 minutes before ordering CT scans.

"The pan-scan performs best 30 minutes after admission, because the sensitivity of the scan increases after this interval," study author Dr. Dirk Stengel, of the Center for Clinical Research at Unfallkrankenhaus Berlin and Ernst Moritz Arndt University Medical Center, said in a journal news release. "The transfusion of fluids, blood, plasma and emergency interventions to stabilize circulation will restore organ perfusion, and make bleedings and hematomas visible on CT scans."

The researchers examined data on 982 patients who received treatment at a trauma center in Berlin between July 2006 and November 2008.

The study, appearing March 5 in the Canadian Medical Association Journal, found nearly 37 percent of the patients were diagnosed with multiple trauma and about 8 percent of the scans ordered were unnecessary. The researchers also found that, in more than 6 percent of the patients, the scans missed injuries that required surgery or monitoring in the intensive care unit.

"We found that single-pass whole-body [CT] is very effective or specific at determining where there is injured tissue but is variable in excluding injuries in patients with suspected blunt trauma," Stengel said. "Screening tests in trauma are intended to immediately detect life-threatening injuries. Given this premise, high specificity -- meaning that a positive test result shows injury -- makes pan-scanning a valuable tool."

Pan-scanning refers to a CT scan that includes the head, neck, chest and abdomen.

The researchers added that negative test results should be confirmed with clinical exams or additional tests to rule out false-negative results.

More information

The U.S. National Institutes of Health provides more information on CT scans.

Copyright © 2012 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

OF INTEREST:
 

Latest News

Crouse Hospital Appoints Chief Information Officer
more >

MedEx Bedside Prescription Delivery Service

Free service offers convenience, patient education at discharge.
more >

CrouseSports Express After-Hours Ortho Care

Immediate care of orthopedic injuries in kids and adults.
more >

Weight Loss Surgery

Is it right for you? Attend a free information seminar held twice monthly.
more >

Quality at Crouse

See how Crouse Hospital strives to provide the best in patient care.
more >

Cheer Up That Special Someone

Say get well or welcome a new arrival with a gift purchased right at Crouse.

more >

Make an Online Donation Now

Your donation of any amount helps support Crouse services & programs in a meaningful way.
more >

Shop Online Now

Say get well, thinking of you or welcome new baby with a unique gift from the Crouse Gift Shop.

more >