TRACT Study: Evaluation of the Value of Routine Thoraco-abdominal CT in Blunt Trauma Patients

NCT00228111 | Completed

• 1 other identifier: 2005/093
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to establish the additional effectiveness and costs of routine thoraco-abdominal computed tomography (CT) in blunt trauma patients versus conventional radiological imaging and to determine which clinical parameters predict a high additional value of routine thoraco-abdominal CT.

Conditions

Abdominal Injuries; Thoracic Injuries

Keywords

Computed tomography; wounds and injuries,non penetrating; algorithms; Blunt trauma of the thorax and abdomen

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult blunt trauma patients

You may qualify if:

• Patients with life threatening vital problems: respiratory, circulatory (pulse \> 120/min, blood pressure \< 100 mmHg, refill \> 4 sec, exterior blood loss \> 500 ml) or neurologically (Glasgow Coma Score \< 14, abnormal pupils) compromised patients.
• Patients with a revised trauma score under 12
• Patients with signs of fractures from at least two long bones
• Patients with clinical signs of flail chest/multiple rib fractures
• Patients with a clinically evident pelvic rim fracture
• Patients with signs of unstable vertebral fractures or signs of neural cord compression
• Patients involved in a high-energy injury mechanism
• Fall from height (\> 3 m)
• As declared by prehospital emergency medical services

You may not qualify if:

• Patients suffering from a shock Class IIIB/IV
• Patients who need immediate neurosurgical intervention
• Pregnant patients
• Patients referred from other hospitals
• Patients who die at the emergency department

Sponsors & Collaborators

• Radboud University Medical Center: lead

Study Sites (1)

Radboud University

Nijmegen, 6500 HB, Netherlands

Location

Related Publications (4)

• Brink M, Deunk J, Dekker HM, Kool DR, Edwards MJ, van Vugt AB, Blickman JG. Added value of routine chest MDCT after blunt trauma: evaluation of additional findings and impact on patient management. AJR Am J Roentgenol. 2008 Jun;190(6):1591-8. doi: 10.2214/AJR.07.3277.

  PMID: 18492911 RESULT

• Deunk J, Brink M, Dekker HM, Kool DR, van Kuijk C, Blickman JG, van Vugt AB, Edwards MJ. Routine versus selective computed tomography of the abdomen, pelvis, and lumbar spine in blunt trauma: a prospective evaluation. J Trauma. 2009 Apr;66(4):1108-17. doi: 10.1097/TA.0b013e31817e55c3.

  PMID: 19359922 RESULT

• Brink M, Deunk J, Dekker HM, Edwards MJ, Kool DR, van Vugt AB, van Kuijk C, Blickman JG. Criteria for the selective use of chest computed tomography in blunt trauma patients. Eur Radiol. 2010 Apr;20(4):818-28. doi: 10.1007/s00330-009-1608-y. Epub 2009 Sep 17.

  PMID: 19760233 RESULT

• Brink M, de Lange F, Oostveen LJ, Dekker HM, Kool DR, Deunk J, Edwards MJ, van Kuijk C, Kamman RL, Blickman JG. Arm raising at exposure-controlled multidetector trauma CT of thoracoabdominal region: higher image quality, lower radiation dose. Radiology. 2008 Nov;249(2):661-70. doi: 10.1148/radiol.2492080169.

  PMID: 18936319 DERIVED

MeSH Terms

Conditions

Abdominal Injuries; Thoracic Injuries; Wounds and Injuries

Study Officials

• A.B. van Vugt, MD, PhD

  Radboud University, Dept. of Traumatology

  STUDY DIRECTOR

• J.G. Blickman, MD, PhD

  Radboud University, Dept. of Radiology

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 22, 2005
• First Posted: September 28, 2005
• Study Start: June 1, 2005
• Primary Completion: June 1, 2008
• Study Completion: December 1, 2008
• Last Updated: September 24, 2009

Record last verified: 2009-09

Locations

NL (1)