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Novel computed tomography scan scoring system predicts the need for intervention after splenic injury.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Thompson, Burke E. Múnera, Felipe Cohn, Stephen M. Maclean, Alexandra A. Cameron, John Rivas, Luis Bajayo, David E. |
| Copyright Year | 2006 |
| Abstract | BACKGROUND The purpose of this study was to develop a computed tomography (CT) scan screening test to predict the need for intervention in patients with splenic injury. METHODS CT scans of 20 patients with blunt injury to the spleen were reviewed to identify findings that correlated with the need for intervention (surgery or embolization). A screening test was created and then validated in CT scans from 56 consecutive patients. RESULTS Three findings correlated with the need for intervention: 1) devascularization or laceration involving 50% or more of the splenic parenchyma, 2) contrast blush greater than one centimeter in diameter (from active extravasation of intravenous contrast material or pseudoaneurysm formation), and 3) a large hemoperitoneum. The sensitivity of the screening test was 100%, specificity was 88%, and overall accuracy was 93%. CONCLUSIONS These CT scan grading criteria appears to reliably predict the need for invasive management in patients with blunt injury to the spleen. |
| Starting Page | 1769 |
| Ending Page | 1772 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://surgery.uthscsa.edu/faculty/pubs/tomography.pdf |
| PubMed reference number | 16688074v1 |
| Volume Number | 60 |
| Issue Number | 5 |
| Journal | The Journal of trauma |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Blunt (object) Blushing Brain Injuries Contrast Media Diameter (qualifier value) Extravasation Hemoperitoneum Histopathologic Grade Laceration Nonpenetrating Wounds Parenchyma of spleen Patients Score Spleen Tissue Tomography, Spiral Computed X-Ray Computed Tomography centimeter |
| Content Type | Text |
| Resource Type | Article |
