Publication: Mortality rate of trauma patients with esi triage level 1–2 who underwent computerized tomography-panscan versus conventional computerized tomography scan
Issued Date
2021-01-01
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11791500
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2-s2.0-85117808585
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Mahidol University
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SCOPUS
Bibliographic Citation
Open Access Emergency Medicine. Vol.13, (2021), 457-463
Suggested Citation
Sorravit Savatmongkorngul, Chaiyaporn Yuksen, Wapee Maspol, Pungkava Sricharoen, Sirote Wongwaisayawan, Chetsadakon Jenpanitpong, Sorawich Watcharakitpaisan, Parama Kaninworapan, Konwachira Maijan Mortality rate of trauma patients with esi triage level 1–2 who underwent computerized tomography-panscan versus conventional computerized tomography scan. Open Access Emergency Medicine. Vol.13, (2021), 457-463. doi:10.2147/OAEM.S330294 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78580
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Title
Mortality rate of trauma patients with esi triage level 1–2 who underwent computerized tomography-panscan versus conventional computerized tomography scan
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Abstract
Objective: The treatment of severe trauma patients requires a fast and accurate method to diagnose life-threatening conditions. Computerized tomography (CT)-PANSCAN has been widely used for the last 20 years to diagnose many patients in critical condition. However, no research has been performed into the efficacy of CT-PANSCAN. This research aims to compare the mortality rate of trauma patients who underwent CT-PANSCAN versus conventional CT scan. Methods: This retrospective cohort study enrolled patients who were at triage ESI level 1–2 in the emergency department of Ramathibodi Hospital from January 2013 to December 2018 and analyzed the mortality rate between those who underwent CT-PANSCAN and conventional CT scan. Results: The study enrolled 123 trauma patients; 61 patients underwent CT-PANSCAN, whereas 62 patients underwent conventional CT scan. There were 1 and 7 patients who expired in the CT-PANSCAN and conventional CT scan groups, respectively. After multivariate regression analysis, the result revealed that patients who underwent CT-PANSCAN had a lower mortality rate (adjusted odds ratio = 0.023; p-value = 0.018; 95% CI 0.001–0.518). Conclusion: Undergoing a CT-PANSCAN can reduce the mortality rate in trauma patients, especially in ESI level 1, 2 traumatic patients, and CT-PANSCAN available facilities.