Diagnostic utility of whole-body computed tomography/pan-scan in trauma: a systematic review and meta-analysis study

AbstractTrauma is a significant cause of mortality and morbidity. It is crucial to diagnose trauma patients quickly to provide effective treatment interventions in such conditions. Whole-body computed tomography (WBCT)/pan-scan is an imaging technique that enables a faster and more efficient diagnosis for polytrauma patients. The purpose of this systematic review and meta-analysis is to evaluate the efficacy of WBCT in diagnosing injuries in polytrauma patients. We will also assess its impact on the mortality rate and length of hospital stay among trauma centers between patients who underwent WBCT and those who did not (non-WBCT). Twenty-seven studies meeting our inclusion criteria were selected among PubMed, Scopus, Web of Science, and Google Scholar. The criteria were centered on the significance of WBCT/pan-scan application in trauma patients. Stata version 15 was used to perform statistical analysis on the data. The authors have also usedI2 statistics to evaluate heterogeneity. Egger and Begg ’s tests were performed to rule out any publication bias. Total of twenty-seven studies including 68,838 trauma patients with a mean age of 45.0 ± 24.7 years were selected. Motor vehicle collisions were the most common cause of blunt injuries (80.0%). Head, neck, and face injuries were diagn osed in 44% (95% CI, 0.28–0.60;I2 = 99.8%), 6% (95% CI, 0.02–0.09;I2 = 97.2%), and 9% (95% CI, 0.05–0.13;I2 = 97.1%), respectively. Chest injuries were diagnosed by WBCT...
Source: Emergency Radiology - Category: Emergency Medicine Source Type: research