caa a22 4500 477079881 CHVBK 20180405111447.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF01507779 doi (NATIONALLICENCE)springer-10.1007/BF01507779 Evaluation of the role of chest computed tomography in the management of trauma patients [Elektronische Daten] [Linda Haramati, Jay Hochsztein, Ninette Marciano, Noel Nathanson] The role of chest computed tomography (CT) in the management of trauma patients is evolving. The present study reviews the chest radiographic and chest CT findings in a group of trauma patients to determine the clinical impact of findings noted exclusively on chest CT. Fifty-five trauma patients examined with chest radiography and chest CT and whose clinical charts were available for review were retrospectively identified. There were 46 men and 9 women, with a mean age of 39 years. The presence (and size) of pneumothorax, hemothorax, pulmonary contusion, and fractures was tabulated for the chest radiographs and CT scans. The presence of mediastinal widening on chest radiographs and all mediastinal findings on CT were noted. The results of aortography, when applicable, were correlated. The clinical charts were reviewed to assess the impact of CT findings on patient management. Pneumothorax (P<0.05), hemothorax (P<0.05), pulmonary contusions, and fractures were noted more frequently on chest CT than on chest radiography. However, clinical management was affected in only three (5%) of these patients. Chest CT findings related to the mediastinum affected patient management in 13 (24%) patients. CT obviated the need for aortography in 7 of 10 patients with mediastinal widening on chest radiographs. Six other patients had aortography, four for mediastinal hematoma with a normal-appearing aorta on contrast medium-enhanced CT, and two for mediastinal hematoma and aortic injury on CT. Despite detection of significantly more pneumothoraces and hemothoraces on chest CT, clinical management was affected in only a small minority (5%) of cases. CT did prove useful in evaluating the mediastinum, obviating the need for aortography in 7 of 10 patients with a widened mediastinum on chest radiography and accurately diagnosing the presence and site of aortic injury in the two patients with that diagnosis. American Society of Emergency Radiology, 1996 Computed tomography nationallicence Trauma nationallicence Pneumothorax nationallicence Aorta nationallicence Haramati Linda Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut Hochsztein Jay Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut Marciano Ninette Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut Nathanson Noel Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut Emergency Radiology Springer-Verlag 3/5(1996-09-01), 225-230 1070-3004 3:5<225 1996 3 10140 https://doi.org/10.1007/BF01507779 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01507779 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Haramati Linda Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 700 1- Hochsztein Jay Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 700 1- Marciano Ninette Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 700 1- Nathanson Noel Department of Radiology, Albert Einstein College of Medicine, Jacobi Medical Center, Pelham Parkway & Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/5(1996-09-01), 225-230 1070-3004 3:5<225 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer