Journal article
Repeat Imaging in Blunt Hepatic Injuries Can Wait for Clinical Change
The Journal of surgical research, Vol.268, pp.119-124
Dec 2021
PMID: 34304007
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
There is variability regarding the utilization and timing of repeat imaging in adult patients with blunt hepatic injury who are managed nonoperatively. This study examines the rate of delayed complications and interventions in patients with blunt hepatic injuries who undergo repeat imaging prompted either by clinical change (CC) or non-clinical change (NCC).
A nine-year, retrospective, dual-institution study was performed of adult patients with blunt hepatic injuries. Patients were identified based on whether repeat imaging was performed and reason for reimaging: CC or NCC. The incidence of delayed complications and interventions was examined for each type of scan.
Of 365 patients, 122 (33.4%) underwent repeat imaging [CC, n = 72 (59%); NCC, n=50 (41%)]. Mean time to repeat imaging was shorter in the NCC group [CC = 7.6 ± 8 days; NCC = 4.7 ± 6.3 days, P = 0.034]. Delayed complications were found in 30 (25%) patients reimaged, [CC, n = 20; NCC, n = 10, P = 0.395]. Interventions were performed in 12 (40%) patients [CC, n = 10; NCC, n = 2, P = 0.120].
Repeat imaging due to NCC occurred earlier than imaging performed by CC. One quarter of patients reimaged demonstrated a delayed complication, with nearly half undergoing intervention. There was no difference in incidence of delayed complications or interventions between groups, suggesting repeat imaging can be prompted by clinical change in blunt hepatic injuries.
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Details
- Title
- Repeat Imaging in Blunt Hepatic Injuries Can Wait for Clinical Change
- Creators
- Kelsey L. Fletcher - Penn State Milton S. Hershey Medical CenterLindsey L. Perea - Lancaster General HospitalMadison E. Morgan - University of Pennsylvania Health SystemBanan W. Otaibi - Penn State Milton S. Hershey Medical CenterJoshua P. Hazelton - Penn State Milton S. Hershey Medical Center
- Publication Details
- The Journal of surgical research, Vol.268, pp.119-124
- Publisher
- Elsevier Inc
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000701779100014
- Scopus ID
- 2-s2.0-85110703495
- Other Identifier
- 991022057015304721
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- Web of Science research areas
- Surgery