Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Ampronix

Patients in Shock Diagnosed with Whole-Body CT Show Significantly Lower Mortality Rates

By Medimaging International staff writers
Posted on 15 Aug 2013
Print article
German researchers have found that patients who are in shock and were diagnosed with whole-body computed tomography (CT) imaging showed substantially lower mortality rates.

The data analysis from the Trauma Register of the German Trauma Society (DGU) was performed by Stefan Huber-Wagner, MD, and colleagues in close cooperation with Prof. Rolf Lefering, PhD, from the Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke (Cologne, Germany).

Data of 16,719 severely injured patients from Germany, Belgium, Austria, Switzerland, and Slovenia were analyzed. The authors compared the observed and the expected mortality rate of severely injured patients with and without whole-body CT. The patients were divided in three groups: patients with severe shock, patients with moderate shock, and patients without shock.

In hemodynamically stable patients, the benefits of early whole-body CT were demonstrated before by this research group. However, the CT scanning in hemodynamically unstable patients is denied by many experts, although there was no scientific evidence so far. These specialists hold the view that physical assessment, basic traditional radiography and ultrasound are sufficient for patients in shock and that the use of whole-body CT leads to considerable time delay before emergency surgery.

Fifty-five percent of 9,233 patients (9,233) were studied with whole-body CT after admission to hospital. It takes between three and six minutes on average to conduct such an imaging scan. Eleven percent (1,821) of patients were in severe shock and 4,280 (26%) in moderate shock. Patients in shock, as reported, who were detected with whole-body CT showed significantly lower mortality rates. Furthermore, risk-adjusted mortality showed that the observed mortality in severely injured patients in shock was significantly lower with whole-body CT than the expected mortality, as compared to patients without whole-body CT. These calculations were based on the Revised Injury Severity Classification Score (RISC), which is a precise prognostic score in trauma care.

The authors concluded that their current hypothesis in trauma care is justified and furthermore found interesting insights regarding emergency treatment and requirements for trauma centers. According to their findings, the chance of survival in shock is increased by more than 25% if whole-body CT is performed. In spite of the supposed time delays caused by whole-body CT, the comprehensive knowledge of the complete injury pattern enables targeted life-saving emergency treatment. Strongly bleeding injuries can therefore be localized exactly and treated precisely. The cause shock can thereby be detected very quickly and accurately.

Prof. Peter Biberthaler, MD, director of the department of trauma surgery at University Hospital Klinikum rechts der Isar (Munich, Germany), emphasized, “With the required expertise, this innovative concept will probably lead to further decreased mortality rates of major trauma patients in the future.”

The study findings were published July 24, 2013, in the journal PLOS ONE.

Related Links:

Institute for Research in Operative Medicine, University of Witten/Herdecke



Print article
Radcal

Channels

Ultrasound

view channel

Pediatric Pneumonia Can Be Diagnosed via Lung Ultrasound

Lung ultrasound (LUS) may offer a safer, yet equally effective, alternative to chest X-rays (CXR) for diagnosing pneumonia in children, according to a new study. Researchers at Mount Sinai School of Medicine (New York, NY, USA) and Vanderbilt University (Nashville, TN, USA) conducted a randomized control trial comparing... Read more

Nuclear medicine

view channel
Image: MRV tracing in a mouse thalamus (Photo courtesy of the Salk Institute for Biological Studies).

New Reagent Helps Map Neural Connections in Brain

An improved rabies virus tracer visualizes neural circuitry in the brain, helping to understand more about motor diseases and neurodevelopmental disorders. Researchers at the Salk Institute for Biological... Read more

General/Advanced Imaging

view channel

Early Intervention with Stent Retrievers Improves Outcomes for Ischemic Stroke Patients

New research has shown that restoration of blood flow to the brain within two and a half hours from the onset of the first signs of acute ischemic stroke resulted in none, or only minimal disability in 91% of patients. Endovascular therapy in the early stages of the onset of stroke symptoms significantly improved functional... Read more

Imaging IT

view channel

World Medical VR Technology Company Unveils First-of-Its-Kind Neurosurgery Surgical Visualization Platform

A novel neurosurgery Virtual Reality (VR) visualization platform has been demonstrated at the NVIDIA GPU Technology Conference (GTC) 2016 in California (USA). The enterprise-wide solution is intended to help clinicians plan, prepare, and perform neurosurgery, and enable the surgeon to empower and engage their patients... Read more

Industry News

view channel
Image: Mazor Robotics\' Renaissance Image Guidance Robot in the Hand of a Surgeon (Photo courtesy of Mazor Robotics).

Medical Image Guidance Systems Developer Reports Demand for Systems in Q1 2016

The developer of an innovative guidance system that can improve the accuracy and clinical outcomes for spine and brain surgery procedures, has announced demand for its systems during the first quarter of 2016.... Read more
Copyright © 2000-2016 Globetech Media. All rights reserved.