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ECR 2013 / C-0589
Infectious complications after thoracic major trauma: peculiar aspects at Multidetector-CT's follow-up.
Congress: ECR 2013
Poster No.: C-0589
Type: Scientific Exhibit
Keywords: Trauma, Infection, Computer Applications-Detection, diagnosis, CT, Thorax, Emergency
Authors: V. Miele1, V. Di Giacomo1, I. Di Giampietro1, S. Ianniello1, G. Menichini2, B. sessa2, M. Trinci3; 1Rome/IT, 2Roma/IT, 3Roma, ITALY/IT
DOI:10.1594/ecr2013/C-0589

Methods and Materials

We revisioned 302 major trauma's patients (M 216, F 86, Mean Age 35+/- 10) that arrived in our Emergency Department from January 2012 to December 2012, evaluating first exam and all following thoracic exams of all Intensive Care's patients; all MDCT studies were performed with same protocols and same CT unit (Ultra16Lightspeed, GE). 

In all patients were separately reported for each lung, if present, which kind of prevalent pattern (ground-glass, reticular, micronodular, lobar consolidation, disomogeneous consolidations), if mechanically-ventilated patient, if drainage pleuric was done, if others related-lesions (pneumatocele, hematocele, abscess, empiema) were present; if known, which patogens were present.

The data were anonymized and evaluated randomly by an experienced radiologist, who has studied the evolution of early lung lesions reviewing all the MDCT studies and has classified them according to a particular pattern of belonging. He has also indicated the time of appearance of the pattern, considering as time 0 the day on which had occurred major trauma.

In a second step, an Intensive Care Unit (ICU) anesthesiologist, has associated to each patient the clinical diagnosis of pulmonary infection, if present during the hospitalization.

All patients with an Injury Severity Score (ISS) >15 were enrolled in the study.

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