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Master Thesis

Recherche de facteurs prédictifs de scanners corps entiers positifs chez les patients traumatisés sévères

Abstract : Objective: trauma is a major public health issue. The REACT-2 study published in 2016 shows that total body CT scanning trauma patients, compared to segmental imaging does not reduce mortality. The main objective of this study is to identify factors linked to a positive total body CT scan in stable trauma patients. The secondary objective is to look for factors associated to a clinical-scanographic difference Method : our retrospective observational study included trauma patients with a total body CT scan between 2017 January and 2019 December in the emergency service of Bordeaux University Hospital. We keeped trauma patients above 18yo with no prehospital intensive care and with a Glasgow score above 14. The primary outcome was the positivity of the total body CT scan, defined by an AIS > 1. Results: 1500 patients were included. The mean age was 34 years. 797 total body CT scan were negative. Gender (male), age (>50yo), low saturation, open fractures, pedestrians MVAs and falls were associated to a positive total body CT scan. Non clinicaly suspected lesions were found in 13% of patients. Associated variables were similar except for HR>100bpm (found) and pedestrians MVAs (not found). Conclusion: Vittel Criteria seem to lead to significant over sorting. Only few parameters are linked to total body CT scan lesions. The clinic suspects majority of the scanographic lesions. Future studies should compare total body CT scanning to segemental imaging in stable trauma patients.
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https://dumas.ccsd.cnrs.fr/dumas-03108222
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Submitted on : Wednesday, January 13, 2021 - 9:17:07 AM
Last modification on : Tuesday, February 2, 2021 - 3:12:13 AM
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Laure Curutchet. Recherche de facteurs prédictifs de scanners corps entiers positifs chez les patients traumatisés sévères. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03108222⟩

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