Actively Recruiting
Relevance of Whole-body Computed Tomography Prescription in the Emergency Department : an Identification Tool for Low Risk Patients
Led by University Hospital, Rouen · Updated on 2024-10-08
2018
Participants Needed
1
Research Sites
179 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The whole-body scanner (SCE) is a powerful examination that guides the management of patients severely traumatized. However, the systematic use of this examination in emergency departments is responsible for a large proportion of normal examinations. In addition to the non-negligible direct cost, the average irradiation of 20 mSv would give an adult a 1 in 1000 risk of developing a cancer. The Vittel score makes it possible to categorize pre-hospital patients as seriously traumatized to guide the sending of resources and direct them to a center equipped with a suitable technical platform. The use of this score to condition the prescription of the ECS is at the origin of an over-triage important since one out of two patients who validates at least one criterion has no lesion on imaging. The purpose of this research project is to validate a decision support tool to objectively guide the emergency physician in its use of the ECS. At the same time, the economic impact of such a procedure will be analysed.
CONDITIONS
Official Title
Relevance of Whole-body Computed Tomography Prescription in the Emergency Department : an Identification Tool for Low Risk Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients undergoing whole-body CT scan as part of post-traumatic assessment in the emergency room
- Injury caused by road accident or fall
- Patient has read and understood the information and given oral consent
You will not qualify if you...
- Neurological impairment with Glasgow score less than 8
- Respiratory failure with oxygen saturation below 90% or need for ventilatory assistance
- Hemodynamic failure needing more than 1000 cc vascular filling or catecholamines
- Acute alcoholism
- Use of narcotics
- History of cognitive disorders
- Current pregnancy
- Suicidal patient
- Trauma related to a brawl
- Penetrating trauma
- Hemophilia
- Known thrombocytopenia at inclusion
- Heart, lung, liver, or kidney transplant patient
- Person deprived of liberty by legal decision or under legal protection
AI-Screening
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Trial Site Locations
Total: 1 location
1
Services des Urgences Adultes
Rouen, France, 76031
Actively Recruiting
Research Team
D
David MALLET
CONTACT
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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