Title: Multi detector computed tomography based volumetric assessment of lung parenchymal injury in isolated blunt thoracic trauma patients acts as predictor of clinical outcome: a prospective observational study
Author:
Pal, Ajay;
Kumar, Sanjeev;
Kumar, Suresh;
Ansari, Saquib;
Ahmad, Arshad;
Kumar, Manoj
Subject:
Lung trauma ; Multi detector CT ; Volumetric analysis
Description:
To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s12055-017-0559-1 Byline: Ajay Kumar Pal (1), Sanjeev Kumar (1), Suresh Kumar (1), Saquib Ansari (1), Arshad Ahmad (1), Manoj Kumar (2) Keywords: Lung trauma; Multi detector CT; Volumetric analysis Abstract: Introduction The role of multi detector computed tomography (MDCT) in thoracic trauma is continuously evolving with identification of occult injuries and better characterization of potentially life threatening injuries. Keeping this in mind, we have done a prospective study for volumetric analysis of lung parenchymal injury in isolated blunt thoracic trauma patients, explored its prognostic implications, and evaluated its correlation with clinical outcome of patient. Methods Prospective evaluation of patients with isolated blunt thoracic trauma coming from the trauma center was done with MDCT. Patients with poly trauma, pregnancy, penetrating thoracic trauma, pre-existing pulmonary or renal disease, and any other significant co-morbid medical or surgical illness and requirement of urgent thoracotomy (surgery) were excluded from the study. Data was collected regarding patient demographics, mechanism of injury, involvement of thoracic viscera and thoracic wall, uninvolved mean lung volume and overall prognosis in relation to eventless recovery, need for mechanical ventilation, and mortality which were taken as primary outcome parameters. Mean lung volumes of both lungs were compared in between groups of eventless recovery, need of mechanical ventilation and mortality with p value
Is part of:
Indian Journal of Thoracic and Cardiovascular Surgery, 2017, Vol.33(3), pp.213-219
Identifier:
0970-9134
(ISSN); 0973-7723
(E-ISSN); 10.1007/s12055-017-0559-1
(DOI)