文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

应用全身骨扫描对创伤患者进行漏诊骨骼损伤的分析:一项病例对照研究。

Analysis of Missed Skeletal Injuries Detected Using Whole-Body Bone Scan Applied to Trauma Patients: A Case-Control Study.

作者信息

Chung Jae Sik, An Sanghyun, Gong Seong Chan, Jung Pil Young

机构信息

Department of Traumatology, Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.

Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.

出版信息

Diagnostics (Basel). 2023 May 27;13(11):1879. doi: 10.3390/diagnostics13111879.


DOI:10.3390/diagnostics13111879
PMID:37296730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10252419/
Abstract

(1) Background: Skeletal injuries may be missed in patients presenting multiple traumas during initial assessment. A whole-body bone scan (WBBS) may aid the detection of missed skeletal injuries, but the current level of research in this regard is insufficient. Thus, this study aimed to investigate whether a WBBS is useful for the detection of missed skeletal injuries in patients with multiple traumas. (2) Methods: This retrospective, single-region, trauma center study was conducted at a tertiary referral center from January 2015 to May 2019. The rate of missed skeletal injuries detected via WBBSs was evaluated, and factors that could influence the outcome were analyzed and divided into missed and not-missed groups. (3) Results: A total of 1658 patients with multiple traumas who underwent WBBSs were reviewed. In the missed group, the percentage of cases with an Injury Severity Score (ISS) ≥ 16 was higher than the not-missed group (74.66% vs. 45.50%). The rate of admission route through surgery and embolization was high in the missed group. Moreover, the proportion of patients that experienced shock in the missed group was higher than that in the not-missed group (19.86% vs. 3.51%). In univariate analysis, ISS ≥ 16, admission route through surgery and embolization, orthopedic surgery involvement, and shock were related to missed skeletal injuries. ISS ≥ 16 was determined to be statistically significant in multivariate analysis. Additionally, a nomogram was constructed based on multivariable analysis. (4) Conclusions: Missed skeletal injuries were significantly associated with several statistical factors, and a WBBS can be used as a screening method to detect missed skeletal injuries in patients with multiple blunt traumas.

摘要

(1)背景:在初次评估时,多发伤患者可能会漏诊骨骼损伤。全身骨扫描(WBBS)可能有助于发现漏诊的骨骼损伤,但目前这方面的研究水平不足。因此,本研究旨在调查WBBS对多发伤患者漏诊骨骼损伤的检测是否有用。(2)方法:本回顾性、单区域创伤中心研究于2015年1月至2019年5月在一家三级转诊中心进行。评估通过WBBS检测到的漏诊骨骼损伤率,并分析可能影响结果的因素,将其分为漏诊组和未漏诊组。(3)结果:共回顾了1658例接受WBBS的多发伤患者。在漏诊组中,损伤严重程度评分(ISS)≥16的病例百分比高于未漏诊组(74.66%对45.50%)。漏诊组通过手术和栓塞的入院途径发生率较高。此外,漏诊组经历休克的患者比例高于未漏诊组(19.86%对3.51%)。单因素分析中,ISS≥16、通过手术和栓塞的入院途径、骨科手术参与情况和休克与漏诊骨骼损伤有关。多因素分析中,ISS≥16具有统计学意义。此外,基于多变量分析构建了列线图。(4)结论:漏诊骨骼损伤与几个统计学因素显著相关,WBBS可作为一种筛查方法,用于检测多发钝性伤患者的漏诊骨骼损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/627ae6080689/diagnostics-13-01879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/b23afc0eb7bb/diagnostics-13-01879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/54fa3693bd60/diagnostics-13-01879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/627ae6080689/diagnostics-13-01879-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/b23afc0eb7bb/diagnostics-13-01879-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/54fa3693bd60/diagnostics-13-01879-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c89/10252419/627ae6080689/diagnostics-13-01879-g003.jpg

相似文献

[1]
Analysis of Missed Skeletal Injuries Detected Using Whole-Body Bone Scan Applied to Trauma Patients: A Case-Control Study.

Diagnostics (Basel). 2023-5-27

[2]
Missed Skeletal Trauma Detected by Whole Body Bone Scan in Patients with Traumatic Brain Injury.

J Korean Neurosurg Soc. 2020-9

[3]
Bone scan as a screening test for missed fractures in severely injured patients.

Orthop Traumatol Surg Res. 2014-12

[4]
Incidence and predictors of missed injuries in trauma patients in the initial hot report of whole-body CT scan.

Injury. 2011-6-12

[5]
Morbidity and mortality in elderly trauma patients.

J Trauma. 1999-4

[6]
Whole-Body CT in Patients with Multiple Traumas: Factors Leading to Missed Injury.

Radiology. 2018-8-7

[7]
Incidence of delayed and missed diagnoses in whole-body multidetector CT in patients with multiple injuries after trauma.

Acta Radiol. 2013-6

[8]
An analysis of missed injuries in patients with severe trauma.

J Trauma Inj. 2022-12

[9]
Assessment of sensitivity of whole body CT for major trauma.

Eur J Trauma Emerg Surg. 2018-3-8

[10]
Management of gastrointestinal perforation from blunt and penetrating abdominal trauma in children: analysis of 96 patients.

Pediatr Surg Int. 2016-11

引用本文的文献

[1]
Diagnostic Value of Ultrasound for Sternal Fractures in Patients with Trauma Experiencing Anterior Chest Wall Pain.

J Clin Med. 2024-8-29

本文引用的文献

[1]
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

Eur J Trauma Emerg Surg. 2020-12

[2]
Traumatic sternal injury in patients with rib fracture: A single-center experience.

Int J Crit Illn Inj Sci. 2019

[3]
Rib fractures in the elderly: physiology trumps anatomy.

Trauma Surg Acute Care Open. 2019-3-12

[4]
Missed foot fractures in multiple trauma patients.

BMC Musculoskelet Disord. 2019-3-25

[5]
Validity of bone scans to detect missed injury in patients with major trauma.

Ulus Travma Acil Cerrahi Derg. 2019-3

[6]
Advanced Trauma Life Support Update 2019: Management and Applications for Adults and Special Populations.

Anesthesiol Clin. 2019-3

[7]
Missed injuries in combat casualties: Lessons from Iraq and Afghanistan.

Injury. 2019-1-11

[8]
Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department.

Acta Biomed. 2018-1-19

[9]
Incidence of Delayed Diagnosis of Orthopaedic Injury in Pediatric Trauma Patients.

J Orthop Trauma. 2017-9

[10]
Missed injuries and unplanned readmissions in pediatric trauma patients.

J Pediatr Surg. 2017-3

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索