Diagnostics and Management
- Computed Tomography Rates and Estimated Radiation-Associated Cancer Risk Among Injured Children Treated at Different Trauma Center Types
- Sathya C, Alali AS, Wales PW, Langer JC, Kenney BD, Burd RS, Nance ML, Nathens AB.
- Injury . 2019 Jan;50(1):142-148. doi: 10.1016/j.injury.2018.09.036. Epub 2018 Sep 19.
Rationale for inclusion: Retrospective study including 130 U.S. trauma centers demonstrating that pediatric trauma patients are more likely to undergo CT scanning at adult and adult/pediatric trauma centers than at specialized pediatric trauma centers. This is particularly true for children with low injury severity, a trauma mechanism of "fall", and teenagers. Increased use of CT scans is not associated with better outcomes but with a significantly increased calculated radiation exposure and presumed cancer risk.
CAVEAT: Retrospective study in TQIP
Citations - To review the number of citations for this landmark paper, visit Google Scholar.