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Diagnostics and Management

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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.

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