The efficacy of four-slice helical CT in evaluating pancreatic trauma: a single institution experience

Lee, Wei-Jing; Foo, Ning‐Ping; Lin, Hung‐Jung; Huang, Yen‐Chang; Chen, Kuo-Tai

doi:10.1186/1752-2897-5-1

Cited by 15 publications

(10 citation statements)

References 16 publications

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“…There was 15.2% of complications observed after 6 months followup period which is lower than the result found by Chalya et al [ 36 ]. The presence of this much incidence of complication may be due to most procedures are done by closed reduction due to the absence of maxillofacial surgeons.…”

Section: Discussioncontrasting

confidence: 65%

Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia

et al. 2017

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BackgroundMaxillofacial injury poses a challenge to oral and maxillofacial surgeons working in developing countries with limited resource and human power. The present study aimed to determine the etiology, pattern, and management of maxillofacial trauma in Gondar university of Gondar hospital.MethodsA retrospective descriptive study design was used. Medical registration retrieving of patients with maxillofacial trauma visited dental center of University of Gondar Hospital from September 2013 to August 2015 was done. During data collection, etiology of trauma, pattern of fracture, treatment modality and complications were recorded using predesigned data collection template and analyzed using SPSS computer software version 20. Statistical analysis was done to show the sex distribution of maxillofacial trauma and the effect of alcohol intake on the incidence of trauma.ResultsDuring 2-year period, September 2013–August 2015, 326 patients of maxillofacial trauma were treated in the dental center of university of Gondar hospital. The mean age was 29.12 (± 8.62) with age range of 11–75 years. Majority of the study participants (47.2%) were within the age group of 21–30 years. Eighty percent of the participants were male with a male to female ratio of 4.02:1. Interpersonal violence (75.8%) and Road traffic accident (21.5%) were the leading causes. Males are at high risk of maxillofacial trauma relative to females (P < 0.0001). There was high incidence of trauma in the weekend, rural residents, December to February, mandibular fractures and soft tissue injuries were the most common injuries. There was an associated injury in 79 (24.2%) patients in head and neck area, thoracic, abdominal and extremities. Half of the patients were managed conservatively (49.7%) with debridement and suture, while 45.7% of the patients were closed reduction and 4.6% were surgical open reduction. There were 25 post procedure complications especially in mandibular fractures.ConclusionInterpersonal violence was the major cause of maxillofacial trauma, while mandible and soft tissue were the most affected maxillofacial areas. The federal ministry of health, Ethiopia should have well-organized maxillofacial center in tertiary hospitals for emergency management to avoid morbidity and mortality.

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Section: Discussioncontrasting

confidence: 65%

Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia

et al. 2017

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“…A total of 37 studies were included. 1,4,6 -40 There were 34 published journal articles, 2 conference abstracts, and 1 published conference presentation. In 21 of the studies, imaging of PI was the primary objective.…”

Section: Resultsmentioning

confidence: 99%

Imaging of Blunt Pancreatic Trauma: A Systematic Review

2020

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Purpose: Despite several published reports on the value of imaging in acute blunt pancreatic trauma, there remains a large variability in the reported performance of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). The purpose of this study is to present a systematic review on the utility of these imaging modalities in the acute assessment of blunt pancreatic trauma. In addition, a brief overview of the various signs of pancreatic trauma will be presented. Methods: Keyword search was performed in MEDLINE, EMBASE, and Web of Science databases for relevant studies in the last 20 years (1999 onward). Titles and abstracts were screened, followed by full-text screening. Inclusion criteria were defined as studies reporting on the effectiveness of imaging modality (US, CT, or MRI) in detecting blunt pancreatic trauma. Results: After initial search of 743 studies, a total of 37 studies were included in the final summary. Thirty-six studies were retrospective in nature. Pancreatic injury was the primary study objective in 21 studies. Relevant study population varied from 5 to 299. Seventeen studies compared the imaging findings against intraoperative findings. Seven studies performed separate analysis for pancreatic ductal injuries and 9 studies only investigated ductal injuries. The reported sensitivities for the detection of pancreatic injuries at CT ranged from 33% to 100% and specificity ranged from 62% to 100%. Sensitivity at US ranged from 27% to 96%. The sensitivity at MRI was only reported in 1 study and was 92%. Conclusion: There remains a large heterogeneity among reported studies in the accuracy of initial imaging modalities for blunt pancreatic injury. Although technological advances in imaging equipment would be expected to improve accuracy, the current body of literature remains largely divided. There is a need for future studies utilizing the most advanced imaging equipment with appropriately defined gold standards and outcome measures.

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“…Various literature also supported the use of an educational injury prevention program that includes head protection to decrease the incidences of TBI and lead to a better quality of life (Butterwick et al, 2011; Davidson et al, 2015; Hasler et al, 2011; Ross et al, 2010). One of the most interesting findings in our study was related to the high number of incidents found in the female pediatric population and these occurrences were also found in other studies (Davidson et al, 2015; Hasler et al, 2011; Havlik, 2010; Worley, 2010), leading us to conclude that our findings were consistent among similar cohorts and locations.…”

Section: Discussionmentioning

confidence: 99%

“…Patients identified in the study who wore helmets did not need a neurological intervention during their admission; however, those patients who did not utilize helmets during their accident did sustain a TBI and required neurological intervention. A retrospective data analysis and case–control survey by Hasler et al (2011) sought to identify injury patterns, protective factors, and risk factors related to horse riding and identified safe riders and those at increased risk. The findings from their study showed that education was seen as a protective factor as well as the wearing of helmets.…”

Section: Review Of the Literaturementioning

confidence: 99%

A Retrospective Cohort Study of Traumatic Brain Injury and Usage of Protective Headgear During Equestrian Activities

Tate

Lacombe

et al. 2017

Journal of Trauma Nursing

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Some of the more popular sporting activities for those living in rural areas include equestrian activities such as rodeo events and horseback riding. The lack of helmet use poses a concern for those who participate in these activities due to the risk of sustaining a traumatic brain injury (TBI) and ultimately having a negative effect on their future. A retrospective cohort study was conducted at a trauma center comparing the data on animal-riding patients and their use or lack of use of headgear and incidence of TBI. Of the patients identified, 16.2% sustained a head injury, ranking TBI fourth among all injuries sustained by the animal-riding population. Males were predominantly affected; however, females of pediatric age 5–17 years (54.5%) ranked high among the TBI population. Among all the patients identified with TBI, none of the patients were wearing a helmet and all sustained a head injury. The average injury severity score was 11, with hospital length of stay averaging less than 2 days and the overall mortality was 3.6%. Findings from the study should be considered for the purpose of implementing an age-specific educational program focused on head injury prevention and utilization of protective headgear. Current literature supports the use of protective headgear to reduce the risk of head injuries. Animal riders should be educated on the importance of using headgear as a preventive measure. Future studies are needed to indicate the effectiveness of injury prevention in regard to head injury severity and the use of protective headgear.

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The efficacy of four-slice helical CT in evaluating pancreatic trauma: a single institution experience

Cited by 15 publications

References 16 publications

Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia

Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia

Imaging of Blunt Pancreatic Trauma: A Systematic Review

A Retrospective Cohort Study of Traumatic Brain Injury and Usage of Protective Headgear During Equestrian Activities

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