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
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%).