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- W2079355217 abstract "Background: CT scans are often used in the evaluation of blunt trauma patients. Many scans are negative. Clinical predictors of positive abdominal CT scans would be beneficial in patient care. Methods: A prospective study of 213 patients at a Level I trauma center presenting with blunt trauma who underwent abdominal CT scan. Indications for CT scan were analyzed statistically, using univariate and multivariate models. Results: Univariate χ2 tests showed abnormal pelvis x-ray (p = 0.0002) and an intubated patient (p = 0.03) were predictors of a positive CT scan. When subjected to multivariate logistic regression, these two indications were significant predictors of a positive CT scan, abnormal pelvis x-ray (p = 0.0005, OR=6.6, 95% CI), and an intubated patient (p = 0.02, OR=2.6, 95% CI). Univariate χ2 tests also showed that alcohol intoxication was statistically significant predictor of a negative CT scan (p = 0.03). Conclusion: Our data suggest that an abnormal pelvis x-ray and intubation are significant risk factors for a positive CT scan. Alcohol intoxication, mechanism of injury, and unreliable examination, without other associated indication for a scan, may warrant further study." @default.
- W2079355217 created "2016-06-24" @default.
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- W2079355217 date "2004-08-01" @default.
- W2079355217 modified "2023-09-27" @default.
- W2079355217 title "Prospective Study of the Clinical Predictors of a Positive Abdominal Computed Tomography in Blunt Trauma Patients" @default.
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- W2079355217 doi "https://doi.org/10.1097/01.ta.0000130612.60661.c3" @default.
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