ernstige traumatische letsels trauma injury
Conditions
Interventions
the total body CT scan without prior conventional imaging
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: At least one of the following parameters at hospital arrival: - respiratory rate *30 or *10, or - pulse *120/min - systolic blood pressure *100 mmHg - exterior blood loss *500 ml - Glasgow Coma Score *13 or abnormal pupilary reaction on site.;Or one of the following clinically suspicious diagnoses: - Patients with signs of fractures from at least two long bones - Patients with clinical signs of flail chest, open chest or multiple rib fractures - Patients with clinical signs of severe abdominal injury - Patients with a clinically evident pelvic fracture - Patients with signs of unstable vertebral fractures or signs of spinal cord compression;Or one of the following injury mechanisms: - fall from height (>3 meters / > 10 feet) - ejection from the vehicle - death occupant in same vehicle - severely injured patient in same vehicle - wedged or trapped chest / abdomen
Exclusion criteria
Exclusion criteria: - Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The in-hospital mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| - The difference in mortality: the 24hour mortality and the mortality during the first year after the trauma. - The difference in morbidity: the complications and total number of re-interventions and re-admissions during the first year after the trauma. - The difference in hospital time: the length of in-hospital and ICU stay and the total number of ventilation days. - The difference in quality of life 6 and 12 months after the trauma as recorded by filling in two questionnaires (HUI-3 and EuroQoL). - The difference in ratio of non-operative management strategies: i.e. conservative and angio-interventional treatment versus primary operations. - The difference in radiation exposure between total body CT and standard work-up. - The difference in diagnostic time and between total body CT and standard work-up. - The difference in cost-effectiveness (measured by a patient questionnaire derived from the Dutch Labour and Health Questionnaire and adapted for international use 3 and 6 months after the trauma). - The difference in diagnostic accuracy between total body CT and standard work-up. | — |
Countries
Netherlands
Outcome results
None listed