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Initial assessment of chest X-ray in thoracic trauma patients: Awareness of specific injuries

查看全文 作　　者：Tjeerd S [1]Aukema;Ludo FM [2]Beenen;Falco [1]Hietbrink;Luke PH [1]Leenen 高影响力作者 机构地区：[1]Department of Surgery, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands;[2]Department of Radiology, Academic Medical Center, PO Box 22660, 1105 AZ Amsterdam, The Netherlands高影响力机构 出　　处：《World Journal of Radiology》索引2012年第4卷第2期,共5页高影响力期刊 摘　　要：AIM: To compare the reported injuries on initial assessment of the chest X-ray (CXR) in thoracic trauma patients to a second read performed by a dedicated trauma radiologist. METHODS: By retrospective analysis of a prospective database, 712 patients with an injury to the chest admitted to the University Medical Center Utrecht were studied. All patients with a CXR were included in the study. Every CXR was re-evaluated by a trauma radiologist, who was blinded for the initial results. The findings of the trauma radiologist regarding rib fractures, pneumothoraces, hemothoraces and lung contusions were compared with the initial reports from the trauma team, derived from the original patient files. RESULTS: A total of 516 patients with both thorax trauma and an initial CXR were included in the study. After re-evaluation of the initial CXR significantly more lung contusions (53.3% vs 34.1%, P < 0.001), hemothoraces (17.8% vs 11.0%, P < 0.001) and pneumothoraces (34.4% vs 26.4%, P < 0.001) were detected.During initial assessment significantly more rib fractures were reported (69.8% vs 62.3%, P < 0.001). CONCLUSION: During the initial assessment of a CXR from trauma patients in the emergency department, a significant number of treatment-dictating injuries are missed. More awareness for these specific injuries is needed. 关 键 词：THORACIC RADIOGRAPHY Rib FRACTURES HEMOTHORAX PNEUMOTHORAX Pulmonary CONTUSION
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