Yeild of regional vs panbody computed tomography in silver trauma-a single centre review

Congress:

ECR 2020

Poster Number:

C-09194

Type:

Educational Exhibit

Keywords:

Performed at one institution, Not applicable, Retrospective, Geriatrics, Education, CT, Trauma, Emergency, Emergency Imaging

Authors:

M. Nasir, J. Leung, S. naeem; Ashford/UK

DOI:

10.26044/ecr2020/C-09194

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-09194

Fig. 1: Demographics

Fig. 2: Yield of Regional and panbody Ct requested as first imaging modality

Fig. 3: Yield of Xray as first imaging modality

Fig. 4: Yield of CT following initial Xray

Findings and procedure details

Methods

This retrospective review analyzed the yield of CT (regional and/or panbody) vs X-ray as the first imaging of choice in 536 elderly (>65 years) patients registered in the TARN (The Trauma Audit and Research Network) database for a single trauma unit over a year.

Results

CT was requested as the first imaging modality in 57% of the patients (n-304) with 77% (n-233) regional and 23% (n-71) pan body scans. The yield of CT for positive findings was 84% for the regional and 100% for the panbody scans respectively. Regional X-ray was requested as the first imaging modality for 43% (n-232) of the geriatric trauma patients. Around 42% of these patients went on to have regional CT of the same region as initial X-ray with 74% of such scans yielding positive findings whilst the pan body CT following initial X-ray were positive in all 09 patients(100%).