Whole body CT doesn't cut mortality in peds blunt trauma

Whole body CT doesn't cut mortality in peds blunt trauma

(HealthDay)—Whole body computed tomography (WBCT) is not associated with reduced mortality compared with a selective CT approach among children with blunt trauma, according to a study published online April 9 in JAMA Pediatrics.

James A. Meltzer, M.D., from the Albert Einstein College of Medicine in Bronx, N.Y., and colleagues conducted a retrospective multicenter cohort study involving data from children aged 6 months to 14 years with blunt who received an emergent CT scan in the first two hours after arrival at the emergency department. Patients who received CT head, chest, and abdomen/pelvis scans were classified as having WBCT, while those who did not receive all three scans were classified as having selective CT; data were included for 42,912 children.

The researchers found that 20.4 percent of the children received a WBCT. Within seven days, 0.9 percent of the children died. There was no significant difference in for children who received WBCT versus those who received selective CT, after adjustment for propensity score (absolute risk difference, −0.2 percent; 95 percent confidence interval, −0.6 to 0.1 percent). There were no significant associations between WBCT and mortality in subgroup analyses.

"Among children with blunt trauma, WBCT, compared with a selective CT approach, was not associated with ," the authors write. "These findings do not support the routine use of WBCT for with blunt trauma."


Explore further

No benefit for MRI after normal cervical CT in blunt trauma

More information: Abstract/Full Text (subscription or payment may be required)
Journal information: JAMA Pediatrics

Copyright © 2018 HealthDay. All rights reserved.

Citation: Whole body CT doesn't cut mortality in peds blunt trauma (2018, April 10) retrieved 25 August 2019 from https://medicalxpress.com/news/2018-04-body-ct-doesnt-mortality-peds.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
3 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more