Chest Trauma :Prediction of Thoracic Injuries Clinically and Radiologically (chesttrauma)

Chest Trauma:Prediction of Associated Thoracic Injuries by Clinical and Radiological Studies .Specificity and Sensitivity

• Trauma is a major cause of morbidity and mortality worldwide. Despite the advent of specialized trauma centers the outcome of patients who sustain major trauma remains disappointing. Plain radiography and more advanced imaging techniques such as ultrasound, computerised tomography (CT) and angiography, have a major role to play in the early decision making and subsequent management of patients who sustain polytrauma. This article discusses the choice of emergency imaging techniques available in chest trauma for clinicians and radiologists; their evaluation and some of the common pitfalls that may lead to errors of interpretation.

Study Overview

• Status: Unknown
• Conditions: Chest Trauma; Fluid Balance; Disorder
• Intervention / Treatment: Radiation: chest trauma

Detailed Description

Imaging plays a key role for both, the primary diagnostic work-up, and the secondary assessment of potential treatment. Despite its well-known limitations, the posteroanterior chest radiograph remains the starting point of the imaging work-up. Adjunctive imaging with computed tomography, that recently is increasingly often performed on multidetector computed tomography units, adds essential information not readily available on the conventional radiograph. This allows better definition of trauma-associated thoracic injuries not only in acute traumatic aortic injury, but also in pulmonary, tracheobronchial, cardiac, diaphragmal, and thoracic skeletal injuries. This article reviews common radiographic findings in patients after chest trauma, shows typical imaging features resulting from thoracic injury, presents imaging algorithms, and recalls to the reader less common but clinically relevant entities encountered in patients after thoracic trauma.

• Study Type: Observational
• Enrollment (Anticipated): 70

Contacts and Locations

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Information collected by this study may contribute to the care of patients in the future who have the same lesions as those that participate in this study. The information may also improve the future management of study participants. On the other hand patients will benefit from the clinical and radiological follow up postoperatively. There are no known risks associated with participation in this study. Patients' treatment and follow up will not be altered by any means

Description

Inclusion Criteria:

• chest trauma 2. recent trauma: presented within48 h

Exclusion Criteria:

• Old trauma more than 48h 2-Pt transferred urgently to operating room

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Other

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
chest trauma; Early detection and diagnosis of associated thoracic injuries .; decrease of costs required for investigations . 3- sensitivity and specificity of the investigations	Radiation: chest trauma; clinical and radiological study

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
detection of associated thoracic injuries : fracture rib ,sternum…. etc detection of sensitivity and specificity of clinical and radiological finding detection of associated thoracic injuries : fracture rib ,sternum…. etc	prediction of associated thoracic injuries by clinical and radiological studies .specificity and sensitivity	after one week

Collaborators and Investigators

• Sponsor: Assiut University
• Investigators: Principal Investigator: Alzahraa gamal hasanien sayed, Assiut University

Study record dates

Study Major Dates

• Study Start (Anticipated): November 1, 2019
• Primary Completion (Anticipated): November 1, 2020
• Study Completion (Anticipated): December 1, 2020

Study Registration Dates

• First Submitted: September 25, 2018
• First Submitted That Met QC Criteria: September 26, 2018
• First Posted (Actual): September 27, 2018

Study Record Updates

• Last Update Posted (Actual): April 16, 2019
• Last Update Submitted That Met QC Criteria: April 14, 2019
• Last Verified: April 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Thoracic Injuries
• Other Study ID Numbers: CT

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No