Advertisement
Letter to the Editor| Volume 42, ISSUE 2, P228-229, February 2011

Response to: 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(Suppl. 4):S36–46

DOI:https://doi.org/10.1016/j.injury.2010.02.026
Response to: 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(Suppl. 4):S36–46
Previous Article“Re: Changes in population demographics and the future incidence of hip fractures” [Injury 2009;40(7):722–6]
Next ArticleVolar locking plates versus Kirschner wires for distal radial fractures—A cost analysis study
      We read the paper by Stengel et al. in the November 2009 issue with great interest.
      • 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
      Some issues, however, cannot remain unchallenged. They wrote that a “simple explanation” for the fact that the pan-CT group
      • 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
      was 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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Brenner D.J.
        • Elliston C.D.
        Estimated radiation risks potentially associated with full-body CT screening.
        Radiology. 2004; 232: 735-738
        View in Article
        • 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
        View in Article
        • Klöppel R.
        • Schreiter D.
        • Dietrich J.
        • et al.
        Early clinical management after polytrauma with 1 and 4 slice spiral CT.
        Radiologe. 2002; 42: 541-546
        View in Article
        • 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
        View in Article
        • Weninger P.
        • Mauritz W.
        • Fridrich P.
        • et al.
        Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exemplified by an urban trauma center.
        J Trauma. 2007; 62: 584-591
        View in Article
        • Wurmb T.E.
        • Fruhwald P.
        • Hopfner W.
        • et al.
        Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time.
        J Trauma. 2009; 66: 658-665
        View in Article

      Article info

      Identification

      DOI: https://doi.org/10.1016/j.injury.2010.02.026

      Copyright

      © 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX