EVALUATION OF THE NECESSITY OF COMPUTERIZED TOMOGRAPHY IN CASES OF CHEST INJURIES
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 1
Abstract
OBJECTIVE: Thoracic computed tomography (CT) is increasingly being used as the first choice. However, in most centers, chest radiography remains an integral part of the emergency imaging evaluation of the haemodynamically stable trauma patient and remains the first choice. On the other hand, it is recommended to use thoracic computed tomography as the primary imaging method, especially in cases with high trauma scores. In this study, we aimed to investigate whether thoracic computed tomography is used in necessary indications in thoracic traumas admitted to the emergency department. MATERIAL AND METHODS: All thoracic trauma cases who applied to the emergency service of Alaaddin Keykubat University Alanya Education Research Hospital between June 2018 and June 2019 were retrospectively analyzed using the patient record database. Age, gender, trauma type and Glaskow coma score of all patients were recorded on the form. RESULTS: 70.7% of our patients were male and 29.3% were female. 98.3% of thoracic traumas were blunt trauma. Of all the cases, rib fracture was determined in 3.8%, pneumothorax was detected in 2.1% while hemothorax in 1.4% of them. Only 5.8% of the cases had direct radiography. 45% of cases had additional trauma. CONCLUSIONS: The results of this study show that the required thoracic computed tomography was mostly unnecessary in cases evaluated in the emergency department due to thoracic trauma. In addition, it should also be kept in mind that each thoracic tomography exposes the patient to 500 times more radiation than direct radiography, and that thoracic computed tomography is 80-100 times more expensive than direct radiography. To avoid unnecessary thoracic CT scans, first of all, we think that physicians working in the emergency department should be educated about the approach to patients with thoracic trauma and further studies on this subject are necessary.
Authors and Affiliations
Oktay ASLANER
Keywords
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- EP ID EP699147
- DOI https://doi.org/10.18229/kocatepetip.779280
- Views 80
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