The efficacy of computed tomography in evaluating abdominal injuries in children with major head trauma

Beaver, Bonnie L.; Colombani, Paul M.; Fal, Arame; Fishman, Elliot K.; Bohrer, Stuart; Buck, James R.; Dudgeon, David; Haller, Julia A.

doi:10.1016/s0022-3468(87)80720-0

Cited by 39 publications

(13 citation statements)

References 15 publications

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“…Furthermore, as opposed to the data of Beaver et al [13], none of our patients, whether or not they had a head injury, had clinically occult renal trauma. All had abnormal abdominal physical findings, large amounts of hematunia, shock, or some combination of these.…”

Section: Discussioncontrasting

confidence: 99%

The significance of hematuria in children after blunt abdominal trauma.

Stalker¹,

Kaufman²,

Stedje³

1990

American Journal of Roentgenology

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Section: Discussioncontrasting

confidence: 99%

The significance of hematuria in children after blunt abdominal trauma.

Stalker¹,

Kaufman²,

Stedje³

1990

American Journal of Roentgenology

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“…The difficulties in the clinical evaluation of abdominal injury, especially in patients with associated head injuries, was shown by Beaver et al [12]. In 65 children with major head injury (Glasgow Coma Score less than 10) and mere suspicion of abdominal trauma, they found 15 patients (23 %) with significant intra-abdominal injury.…”

Section: Discussionmentioning

confidence: 99%

Standardized CT examination of the multitraumatized patient

Leidner

Adiels

Aspelin³

et al. 1998

European Radiology

105

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The aim of this study was to develop a standardized non-helical-CT protocol including head, body and proximal extremities in order to achieve a good time efficiency and diagnostic accuracy in the initial radiological evaluation of the multitraumatized patient. A total of 111 circulatory stable blunt trauma patients, brought in to a trauma level II-III hospital, were examined according to a standardized CT protocol. After examining the head with contiguous 10-mm slices without i.v. contrast medium injection, the trunk was examined with 10-mm slices every 30 mm through thorax-abdomen-pelvis with i.v. contrast medium enhancement (occasionally modified). All data in the medical reports were collected and used as "end-point", and the outcome of the CT examination was compared with this final diagnosis. Mean examination time was 20 min (range 12-32 min). In total, 55 head injuries, 89 thoracic injuries, 27 abdominal/pelvic injuries and 62 fractures were found. Computed tomography correctly identified the injuries, except one brain stem injury, one contusion/rupture of the heart, one hepatic injury, two intestinal injuries, eight vertebral injuries and one joint dislocation. A standardized non-helical-CT examination of the head and body may be achieved in 20 min. Its diagnostic accuracy was high, except for vertebral column injuries, which is why we recommend it as the method of choice for initial radiological examination of multitraumatized patients. When available, helical scanning would improve both examination speed and accuracy.

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“…These results are different from previous reports. In a study of 65 children with severe traumatic brain injuries, Beaver et al 8 found the most common mechanisms of injuries were pedestrians struck by automobiles (66%), followed by falls (14%) and occupants in MVCs (9%). Holmes et al, 9 in the identification of intra-abdominal injuries in 1,095 children after blunt trauma, found the predominant mechanisms of injuries to be passengers in motor vehicle collisions (36%), followed by pedestrians struck by automobiles (24%) and falls (17%).…”

Section: Discussionmentioning

confidence: 99%