Clinical predictors of abnormal chest CT scan findings following blunt chest trauma: A cross-sectional study

作     者：Saeed Safari Melina Farbod Hamidreza Hatamabadi Mahmoud Yousefifard Navid Mokhtari Safari Saeed;Farbod Melina;Hatamabadi Hamidreza;Yousefifard Mahmoud;Mokhtari Navid

作者机构：Emergency DepartmentShohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran Emergency DepartmentImam Hossein HospitalShahid Beheshti University of Medical SciencesTehranIran Department of PhysiologySchool of MedicineTehran University of Medical SciencesTehranIran 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第1期

页      面：51-55页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Multiple injuries Decision support techniques Clinical alarms Thoracic injuries Computed tomography X-ray 

摘      要：Purpose:Some surgeons believe that chest computed tomography(CT)scan should be used more prudently in management of blunt chest trauma *** study aimed to evaluate the clinical predictors of abnormal chest CT scan findings in trauma ***:This cross-sectional study was conducted on blunt chest trauma patients aged
18 years who were referred to the emergency departments of two educational hospitals and underwent chest CT *** patients were enrolled in the study using a non-probability sampling *** exclusion criteria included:class III or IV hemodynamic shock,need for immediate surgical or neurosurgical interventions,penetrating trauma,lack of required information,and *** factors,accident details,trauma mechanism,vital signs,and level of consciousness in predicting abnormal chest CT scan findings were *** was performed using IBM SPSS statistics ***:A total of 977 patients(male 51.5%,female 48.5%)with the mean age of(41.71±14.24)years,range 18e88 years were studied;34.2% of them with high energy trauma *** 334(34.2%)patients had abnormal findings on chest X-ray(CXR)and 332(34.0%)cases had an abnormal findings on chest CT scan(agreement rate was 99.4%).There was a significant correlation between male gender(p20 breathes/min,decreased pulmonary sound,and chest wall crepitation were independent clinical predictors of abnormal c