Abstract

Background The role of computed tomography (CT) in paediatric blunt thoracic trauma (BTT) has not been adequately defined. However, thoracic CT is increasingly being used as a screening tool in paediatric trauma, and this represents a potential radiation risk to young patients. [1] We asked whether chest x-ray (CXR) findings in addition to other clinical and epidemiologic variables could be used to predict significant thoracic injuries, to inform the selective use of CT in paediatric BTT. We also wished to determine if these were discrepant from factors associated with the decision to obtain a thoracic CT in a cohort of injured patients.

Highlights

  • The role of computed tomography (CT) in paediatric blunt thoracic trauma (BTT) has not been adequately defined

  • Thoracic CT is increasingly being used as a screening tool in paediatric trauma, and this represents a potential radiation risk to young patients

  • [1] We asked whether chest x-ray (CXR) findings in addition to other clinical and epidemiologic variables could be used to predict significant thoracic injuries, to inform the selective use of CT in paediatric BTT

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Summary

Introduction

The role of computed tomography (CT) in paediatric blunt thoracic trauma (BTT) has not been adequately defined. Thoracic CT is increasingly being used as a screening tool in paediatric trauma, and this represents a potential radiation risk to young patients. [1] We asked whether chest x-ray (CXR) findings in addition to other clinical and epidemiologic variables could be used to predict significant thoracic injuries, to inform the selective use of CT in paediatric BTT. We wished to determine if these were discrepant from factors associated with the decision to obtain a thoracic CT in a cohort of injured patients

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