Chest Trauma :Prediction of Thoracic Injuries Clinically and Radiologically

• Conditions: Chest Trauma; Fluid Balance; Disorder
• Interventions: Radiation: chest trauma

• Registration Number: NCT03686579
• Lead Sponsor: Assiut University

Brief Summary

• Trauma is a major cause of morbidity and mortality worldwide. Despite the advent of specialized trauma centers the outcome of patients who sustain major trauma remains disappointing. Plain radiography and more advanced imaging techniques such as ultrasound, computerised tomography (CT) and angiography, have a major role to play in the early decision making and subsequent management of patients who sustain polytrauma. This article discusses the choice of emergency imaging techniques available in chest trauma for clinicians and radiologists; their evaluation and some of the common pitfalls that may lead to errors of interpretation.

Detailed Description

Imaging plays a key role for both, the primary diagnostic work-up, and the secondary assessment of potential treatment. Despite its well-known limitations, the posteroanterior chest radiograph remains the starting point of the imaging work-up. Adjunctive imaging with computed tomography, that recently is increasingly often performed on multidetector computed tomography units, adds essential information not readily available on the conventional radiograph. This allows better definition of trauma-associated thoracic injuries not only in acute traumatic aortic injury, but also in pulmonary, tracheobronchial, cardiac, diaphragmal, and thoracic skeletal injuries. This article reviews common radiographic findings in patients after chest trauma, shows typical imaging features resulting from thoracic injury, presents imaging algorithms, and recalls to the reader less common but clinically relevant entities encountered in patients after thoracic trauma.

Study Timeline

• Study First Submitted: 2018-09-25
• Study First Submitted QC: 2018-09-26
• Study First Posted: 2018-09-27
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-14
• Last Update Posted: 2019-04-16
• Study Start: 2019-11-01
• Primary Completion: 2020-11-01
• Study Completion: 2020-12-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• chest trauma 2. recent trauma: presented within48 h

Exclusion Criteria

• Old trauma more than 48h 2-Pt transferred urgently to operating room

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
chest trauma	chest trauma	1. Early detection and diagnosis of associated thoracic injuries . 2. decrease of costs required for investigations . 3- sensitivity and specificity of the investigations

Primary Outcome Measures

Name	Time	Method
detection of associated thoracic injuries : fracture rib ,sternum…. etc detection of sensitivity and specificity of clinical and radiological finding detection of associated thoracic injuries : fracture rib ,sternum…. etc	after one week	prediction of associated thoracic injuries by clinical and radiological studies .specificity and sensitivity