Does Comprehensive CT Change Management in Trauma Patients With no Neurologic Deficits
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 510
- 试验地点
- 1
- 主要终点
- Percentage of trauma patients with no known neurologic deficits who underwent a CT
研究概览
简要总结
In high-volume trauma centers, multi-slice CT scanners have become the routine imaging modality for screening trauma patients due to their speed and accuracy. In trauma patients with no known neurologic deficits, diagnostic CT is often obtained though it remains unclear whether this affects management of the patient [1]. With the growing cost of health care, a careful look at the benefit and cost of CT is needed to determine how to best utilize this modality in the evaluation of trauma patients.
HYPOTHESIS: In trauma patients with absence of neurologic defects, the addition of comprehensive CT does not change overall clinical management.
详细描述
Objectives: The primary objective of this study is to determine the benefit of the CT scan in the clinical management or outcomes of the trauma patients with no neurologic deficits.
Primary Outcome: Percentage of trauma patients with no known neurologic deficits who underwent a CT, any clinically impactful CT findings.
Secondary Outcome: Percentage of benefits CT provides in clinical features, clinical outcomes, injury severity score, GCS, age, sex, ethnicity, cause of injury, mechanism of injury, hospital length of stay, operative vs. non-operative, discharge disposition, radilogy, pathology results and images, any additional morbidities, total cost, 30-day readmission rate, and morality. And when operation does occur, the types of operation and the resulting cost and length of stay.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18-years-old
- •No localizing neurologic defect
- •Any cause or mechanism of injury
- •Comprehensive CT obtained
排除标准
- •Any patients that are pregnant or breastfeeding
结局指标
主要结局
Percentage of trauma patients with no known neurologic deficits who underwent a CT
时间窗: April 2006 - April 2016
the benefit of pan-CT with no neurologic deficits
次要结局
- Percentage of benefits CT provides in clinical features(April 2006 - April 2016)