The association between timing of CT and outcomes for severe trauma patients: analysis of a nationwide trauma registry

Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2095–128.

PubMed  PubMed Central  Google Scholar 

Ahmad FB, Cisewski JA, Xu J, Anderson RN. MMWR Morb Mortal Wkly Rep. Provisional Mortality Data - United State, 2022. 2023;72(18):488–92.

Committee on Trauma ACoS. Advanced Trauma Life Support (ATLS) for Physicians. 8th edition. American College of Surgeons. 2009.

Committee on Trauma ACoS. Advanced Trauma Life Support (ATLS) for Physicians. 10th edition. American College of Surgeons. 2018.

Ordonez CA, Herrera-Escobar JP, Parra MW, Rodriguez-Ossa PA, Mejia DA, Sanchez AI, et al. Computed tomography in hemodynamically unstable severely injured blunt and penetrating trauma patients. J Trauma Acute Care Surg. 2016;80(4):597–602. discussion– 3.

PubMed  Google Scholar 

Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology. 2012;265(3):678–93.

PubMed  Google Scholar 

Saltzherr TP, Bakker FC, Beenen LF, Dijkgraaf MG, Reitsma JB, Goslings JC, et al. Randomized clinical trial comparing the effect of computed tomography in the trauma room versus the radiology department on injury outcomes. Br J Surg. 2012;99(1):105–13.

PubMed  Google Scholar 

OECD. Health at a Glance 20232023.

Kiguchi T, Kitamura T, Katayama Y, Hirose T, Matsuyama T, Kiyohara K, et al. Timing of computed tomography imaging in adult patients with severe trauma: A nationwide cohort study in Japan. Am J Emerg Med. 2023;73:109–15.

PubMed  Google Scholar 

Techar K, Nguyen A, Lorenzo RM, Yang S, Thielen B, Cain-Nielsen A, et al. Early imaging associated with improved survival in older patients with mild traumatic brain injuries. J Surg Res. 2019;242:4–10.

PubMed  Google Scholar 

Kuo LW, Hsu CP, Kang SC, Cheng CT, Liao CH, Yang CO, et al. Early brain computed tomographic angiography to screen for blunt cerebrovascular injuries in patients with polytrauma: is it necessary? Am J Emerg Med. 2021;39:121–4.

PubMed  Google Scholar 

Marcaccio CL, Dumas RP, Huang Y, Yang W, Wang GJ, Holena DN. Delayed endovascular aortic repair is associated with reduced in-hospital mortality in patients with blunt thoracic aortic injury. J Vasc Surg. 2018;68(1):64–73.

PubMed  Google Scholar 

Harvin JA, Maxim T, Inaba K, Martinez-Aguilar MA, King DR, Choudhry AJ, et al. Mortality after emergent trauma laparotomy: A multicenter, retrospective study. J Trauma Acute Care Surg. 2017;83(3):464–8.

PubMed  PubMed Central  Google Scholar 

Clarke JR, Trooskin SZ, Doshi PJ, Greenwald L, Mode CJ. Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes. J Trauma. 2002;52(3):420–5.

PubMed  Google Scholar 

Umemura Y, Watanabe A, Kinoshita T, Morita N, Yamakawa K, Fujimi S. Hybrid emergency room shows maximum effect on trauma resuscitation when used in patients with higher severity. J Trauma Acute Care Surg. 2021;90(2):232–9.

PubMed  Google Scholar 

Wada D, Nakamori Y, Yamakawa K, Yoshikawa Y, Kiguchi T, Tasaki O, et al. Impact on survival of whole-body computed tomography before emergency bleeding control in patients with severe blunt trauma. Crit Care. 2013;17(4):R178.

PubMed  PubMed Central  Google Scholar 

Sierink JC, Treskes K, Edwards MJ, Beuker BJ, den Hartog D, Hohmann J, et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet. 2016;388(10045):673–83.

PubMed  Google Scholar 

Kok D, Oud S, Giannakopoulos GF, Scheerder MJ, Beenen LFM, Halm JA, et al. Delayed diagnosed injuries in trauma patients after initial trauma assessment with a total-body computed tomography scan. Injury. 2024:111304.

Huber-Wagner S, Mand C, Ruchholtz S, Kuhne CA, Holzapfel K, Kanz KG, et al. Effect of the localisation of the CT scanner during trauma resuscitation on survival -- a retrospective, multicentre study. Injury. 2014;45(3):S76–82.

PubMed  Google Scholar 

founding members of the Japanese Association for Hybrid Emergency Room S. The hybrid emergency room system: a novel trauma evaluation and care system created in Japan. Acute Med Surg. 2019;6(3):247–51.

Google Scholar 

Kinoshita T, Yamakawa K, Matsuda H, Yoshikawa Y, Wada D, Hamasaki T, et al. The survival benefit of a novel trauma workflow that includes immediate Whole-body computed tomography, surgery, and interventional radiology, all in one trauma resuscitation room: A retrospective historical control study. Ann Surg. 2019;269(2):370–6.

PubMed  Google Scholar 

Ito K, Nagao T, Tsunoyama T, Kono K, Tomonaga A, Nakazawa K, et al. Hybrid emergency room system improves timeliness of angioembolization for pelvic fracture. J Trauma Acute Care Surg. 2020;88(2):314–9.

PubMed  Google Scholar 

Fehr A, Beveridge J, D’Amours SD, Kirkpatrick AW, Ball CG. The potential benefit of a hybrid operating environment among severely injured patients with persistent hemorrhage: how often could we get it right? J Trauma Acute Care Surg. 2016;80(3):457–60.

PubMed  Google Scholar 

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