November 1, 1996Academic Emergency Medicine

Computed Tomography Screens Stable Patients at Risk for Penetrating Cardiac Injury

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Why the study?

Does chest CT accurately diagnose hemopericardium in stable patients with penetrating thoracic wounds?

Population

n=60 stable patients with penetrating thoracic wounds in proximity to the heart evaluated at an urban level…

Comparison

Chest computed tomography to evaluate for… vs Reference standard.

Design

Cohort

Authors

KNKimberly NagyJohn H. Stroger, Jr. Hospital of Cook County SGSusan H. GilkeyRush University Medical Center RRRoxanne R. RobertsJohn H. Stroger, Jr. Hospital of Cook County

Discussion

Member takes

Implication

May support CT as alternative when echocardiography unavailable in stable penetrating trauma; leaves open need for prospective validation.

Structured PICO

Does chest CT accurately diagnose hemopericardium in stable patients with penetrating thoracic wounds?

Population

n=60 stable patients with penetrating thoracic wounds in proximity to the heart evaluated at an urban level I trauma center.

Intervention

Chest computed tomography (CT) to evaluate for hemopericardium.

Comparator

Reference standard (subxiphoid pericardial window exploration for positive/equivocal cases, clinical follow-up for negative cases).

Outcome

Diagnostic accuracy (sensitivity, specificity, and accuracy) for detecting hemopericardium.surrogate

Chest CT is a highly sensitive and specific alternative for diagnosing hemopericardium in stable patients with penetrating chest trauma when echocardiography is unavailable.

Limitations

Retrospective chart review
Convenience sample
Patient must be removed from a closely monitored environment for the scan

Cite This Study

Nagy et al. (1996) studied this question.

synapsesocial.com/papers/6a894ea6e0083a7c2c4323e2 https://doi.org/10.1111/j.1553-2712.1996.tb03347.x

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Implication

May support CT as alternative when echocardiography unavailable in stable penetrating trauma; leaves open need for prospective validation.

Computed Tomography Screens Stable Patients at Risk for Penetrating Cardiac Injury

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Computed Tomography Screens Stable Patients at Risk for Penetrating Cardiac Injury

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider