Vascular Injury in Penetrating Trauma of the Extremities
Author Information
Author(s): Yeliz Simsek, Aysenur Gur
Primary Institution: Adana City Research and Training Hospital, Health Science University, Adana, Türkiye
Hypothesis
Vascular examination findings might be used to predict vascular injury in penetrating trauma and reduce the excessive use of CTA.
Conclusion
Vascular injury was present in all cases that had positive hard signs, and CTA imaging is not necessary in patients who exhibit no hard and/or soft indicators during a thorough physical examination.
Supporting Evidence
- 29 patients had abnormal vascular physical examination while 26 had an abnormal CTA.
- The NPV of the hard sign for identifying vascular injury was 95.4%.
- All patients who did not show any hard and/or soft signs on physical examination had normal CTA.
Takeaway
Doctors can tell if someone has a serious injury to their blood vessels just by checking them carefully, so they don't always need special scans.
Methodology
This retrospective study included patients with penetrating trauma who underwent CTA of the extremities, recording demographic data, mechanism of injury, and examination findings.
Limitations
The study was retrospective and relied on medical records for physical examination findings.
Participant Demographics
Mean age was 33.45 years, with 96.4% male participants.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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