We read the paper by Stengel et al. in the November 2009 issue with great interest.
4Some issues, however, cannot remain unchallenged. They wrote that a “simple explanation” for the fact that the pan-CT group
- Stengel D.
- Frank M.
- Matthes G.
- et al.
Primary pan-computed tomography for blunt multiple trauma: can the whole be better than its parts?.
Injury. 2009; 40: S36-46
2was associated with a significantly greater probability of survival is that whole-body CT detects more injuries. This could result in a higher ISS/NISS and therefore greater estimates of the risk of death. Indeed, the so-called “Will Rogers phenomenon” (removing one observation from one group to another, thereby raising the mean value of both groups) cannot be excluded completely, but we think that its influence is at best marginal.
- Huber-Wagner S.
- Lefering R.
- Qvick L.M.
- et al.
Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study.
Lancet. 2009; 373: 1455-1461
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- Estimated radiation risks potentially associated with full-body CT screening.Radiology. 2004; 232: 735-738
- Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study.Lancet. 2009; 373: 1455-1461
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- Primary pan-computed tomography for blunt multiple trauma: can the whole be better than its parts?.Injury. 2009; 40: S36-46
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© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.