| Author/Editor | Brilej, Drago; Simoniti, Jure | |
| Title | Uporaba računalniške tomografije celotnega telesa (WBCT) za oskrbo hudo poškodovanih v fazi reanimacije - retrospektivna analiza registra hudo poškodovanih v Splošni bolnišnici Celje | |
| Translated title | Whole-body multislice computed tomography (WBCT) as the primary diagnostic tool in patients with major trauma - retrospective analysis of major injuries in General hospital Celje | |
| Type | članek | |
| Source | In: Zbornik predavanj XLVII. podiplomskega tečaja kirurgije za zdravnike, 10. in 11. november 2017 Ljubljana : Slovensko zdravniško društvo | |
| Publication year | 2017 | |
| Volume | str. 95-102 | |
| Language | slv | |
| Abstract | V naši bolnišnici uporabljamo sistematsko WBCT kot diagnostično orodje v začetni oskrbi hudo poškodovanih od leta 2010. Uporabljamo jasno zapisane triažne kriterije. Analizirali smo podatke o hudo poškodovanih zdravljenih v SB Celje in vnesenih v Traumaregister DGU. Zanimalo nas je, ali je uporaba protokola WBCT izboljšala preživetje poškodovancev, pospešila čas obravnave v UC in zmanjšala število spregledanih poškodb. Z analizo nismo uspeli potrditi vpliv na preživetje poškodovance.Pomembno pa smo zmanjšali čas obravnave v UC in vplivali na število spregledanih poškodb. Povečano sevanje z uporabo WBCT je pomemben stranski učinek. Toda z uporabo preiskave pri vnaprej določeni skupini najteže poškodovanih je ta učinek majhen glede na prednosti, ki jih WBCT prinaša.In our hospital, whole body multislice computed tomography is used as the primary diagnostic tool in patients with suspected multiple trauma since 2010. A triage rule is used for its indication. We have retrospectively analysed data of major trauma patients consecutively admitted to our trauma centre to assess whether the usage of MSCT improves outcome of patients, shortens time spent in ER and influences missed injuries. We could not confirm its influence on outcome of the patients, but we confirmed its imapact on time spent in ER and numbers of missed injuries. Whole body CT is associated with greater radiation exposure. But in our opinion the crucial factor in whole body CT is not the exposure of radiation but the early realisation and implementation of the findings to the selected critically injured patient. | |
| Descriptors | Tomography, X-ray computed Multiple trauma Računalniška tomografija Politravma Diagnosis Diagnostika |