Effectivity of the Radiological Imaging Methods in the Prediction of the Neurological Loss Risk in Patients with Blunt Chest Trauma

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dc.contributor.authorYuksel, Ulas
dc.contributor.authorAgababaoglu, İsmail
dc.contributor.authorYildiz, Ozgur Omer
dc.contributor.authorCinar, Eray
dc.contributor.authorÖzdemir, Adnan
dc.contributor.authorAkın, Mustafa Emre
dc.contributor.authorBakar, Bulent
dc.date.accessioned2025-01-21T16:18:38Z
dc.date.available2025-01-21T16:18:38Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: 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.
dc.identifier.doi10.14744/scie.2022.60134
dc.identifier.endpage135
dc.identifier.issn2587-0998
dc.identifier.issn2587-1404
dc.identifier.issue2
dc.identifier.startpage128
dc.identifier.trdizinid535257
dc.identifier.urihttps://doi.org/10.14744/scie.2022.60134
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/535257
dc.identifier.urihttps://hdl.handle.net/20.500.12587/22912
dc.identifier.volume33
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofSouthern Clinics of Istanbul Eurasia
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectNörolojik Bilimler
dc.subjectRadyoloji
dc.subjectNükleer Tıp
dc.subjectTıbbi Görüntüleme
dc.titleEffectivity of the Radiological Imaging Methods in the Prediction of the Neurological Loss Risk in Patients with Blunt Chest Trauma
dc.typeArticle

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