Pan scan for geriatric trauma patients: Overkill or necessary? - 12/04/25
Abstract |
Background |
Geriatric patients manifest pain and physical findings differently and are associated with higher mortality and complications. We hypothesized that physical exam (PE) is unreliable versus computed tomography (CT) for comprehensive injury identification in geriatric patients. Additionally, we quantified significant incidental radiologic findings.
Study design |
Our institution adopted a policy of Pan Scan (PS) CT for trauma activations of patients ≥65 years. PS included CT of head/neck and chest/abdomen/pelvis. PE and imaging findings were extracted from physician reports.
Results |
50 % of patients had clinically significant CT traumatic findings. Of these, 75 % had PE correlating to significant CT findings, while 25 % had significant PS findings not identifiable on PE (p < 0.001). The NPV was 0.80 for the PE. 57.7 % had clinically significant incidental findings.
Conclusion |
Physical exam alone is not sensitive enough to detect all traumatic injuries in elderly patients. As an added benefit to PS, important incidental findings are identified. These data support use of PS in geriatric trauma to optimize care.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Physical exam alone is not reliable enough for injury detection in the elderly. |
• | Pan Scan demonstrated superior sensitivity vs physical exam. |
• | The NPV of physical exam in our cohort was 0.8. |
• | Pan Scan can detect clinically important incidental findings. |
Keywords : Geriatric trauma, Pan scan, Physical exam, Whole body CT
Abbreviations : (PS), (PE), (WBCT)
Plan
Vol 243
Article 116209- mai 2025 Retour au numéro
Article précédent
- Localization procedure for breast lesions at time of biopsy – Which patients would benefit?
- Sophie Carr, Maisa Samiee, Elaine McKevitt, Rebecca Warburton, Jieun Newman-Bremang, Melina Deban, Jin Si Pao, Carol Dingee, Amy Bazzarelli
- “Sucking the trouble” out of troubleshooting wound vacs: Video based curriculum development and implementation in a live tissue model
- M.K. Lonneman, L. Pumiglia, B. Zhang, A.A. Edinger, J. Dejong, O.O. Akinmoladun, J.C. Van Eaton, A. Kelly, K. Dolezal, A. Enzerink, J.J. Glaser, J.R. Bingham, J. Oliver
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?