Effectivity of the Radiological Imaging Methods in the Prediction of the Neurological Loss Risk in Patients with Blunt Chest Trauma
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Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: The study was aimed to investigate the diagnostic differences between X-ray\rand thorax computed tomography (CT) scan in patients with blunt chest trauma and to de-\rtermine which radiological method and/or radiological diagnostic criteria are more effective\rand predictive to diagnose the hemothorax, pneumothorax, and neurological deficit.\rMethods: The demographic and radiological imaging results of patients who had blunt chest\rtrauma between April 2011 and December 2018 were analyzed. A total of 869 patients\r(male=548, female=321) were included in the study. Of the patients, 756 (87%) were as-\rsessed by a traffic accident and 113 (13%) by falling from a height. The findings of rib, ster-\rnum, and spine fractures, hemothorax, and pneumothorax detected on X-ray and/or thorax\rCT were evaluated.\rResults: Rib fractures (p<0.001) and vertebra fractures (p<0.001) were detected much\rmore in CT scans than in chest X-rays. ROC curve test revealed that vertebra fracture,\rhemothorax, and pneumothorax could predict the development risk of the neurological\rdeficit. The logistic regression test results revealed that thorax CT imaging could be the\rbest radiological examination method to be used to diagnose hemothorax (p<0.001) and\rpneumothorax (p<0.001) and to predict the development risk of the neurological deficit\r(p<0.001).\rConclusion: In cases with a rib fracture, hemothorax, and/or pneumothorax, advanced\rvertebral radiological imaging should be performed in order not to overlook vertebral frac-\rtures and to predict the development of neurological deficits. Therefore, a thorax CT scan\rmay be the first choice to detect pathological findings in the thoracic vertebrae and other\rthoracic bone structures.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler, Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Kaynak
Southern Clinics of Istanbul Eurasia
WoS Q Değeri
Scopus Q Değeri
Cilt
33
Sayı
2
