Accepted for Publication: October 26, 2019.
Published Online: January 15, 2020. doi:10.1001/jamasurg.2019.5468
Correction: This article was corrected on April 1, 2020, to add missing affiliations for Drs Mutze and Ekkernkamp and to add a missing data point in eTable 4 in the Supplement.
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Stengel D et al. JAMA Surgery.
Corresponding Author: Dirk Stengel, MD, PhD, MSc, BG Kliniken–Klinikverbund der Gesetzlichen Unfallversicherung gGmbH, Leipziger Platz 1, 10117 Berlin, Germany (dirk.stengel@bg-kliniken.de).
Author Contributions: Dr Stengel had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Stengel, Mutze, Güthoff, Weigeldt, Müller, Ekkernkamp, Kahl.
Acquisition, analysis, or interpretation of data: Stengel, Mutze, Güthoff, Weigeldt, von Kottwitz, Runge, Razny, Müller, Kahl.
Drafting of the manuscript: Stengel, Mutze, Güthoff, Müller, Kahl.
Critical revision of the manuscript for important intellectual content: Stengel, Mutze, Güthoff, Weigeldt, von Kottwitz, Razny, Müller, Ekkernkamp, Kahl.
Statistical analysis: Stengel, Güthoff.
Obtained funding: Stengel, Mutze, Ekkernkamp.
Administrative, technical, or material support: Stengel, Mutze, Weigeldt, Razny, Lücke, Kahl.
Supervision: Stengel, Mutze, Razny, Ekkernkamp, Kahl.
Other - Objective image quality analysis: Müller.
Conflict of Interest Disclosures: Dr Stengel reported occasional contracted expert statements and work (ie, scientific presentations and summaries) for Philips, Siemens, ZimmerBiomet, Johnson & Johnson, Aesculap, and other industrial partners. Dr Mutze reported scientific collaboration with Philips Healthcare. Dr Müller reported being a former employee of Philips Healthcare. Dr Ekkernkamp reported scientific collaboration with Philips Healthcare. No other disclosures were reported.
5.Cannon
JW, Khan
MA, Raja
AS,
et al. Damage control resuscitation in patients with severe traumatic hemorrhage: a practice management guideline from the Eastern Association for the Surgery of Trauma.
J Trauma Acute Care Surg. 2017;82(3):605-617. doi:
10.1097/TA.0000000000001333PubMedGoogle ScholarCrossref 6.Ker
K, Roberts
I, Shakur
H, Coats
TJ. Antifibrinolytic drugs for acute traumatic injury.
Cochrane Database Syst Rev. 2015;(5):CD004896.
PubMedGoogle Scholar 9.Borger van der Burg
BLS, van Dongen
TTCF, Morrison
JJ,
et al. A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination.
Eur J Trauma Emerg Surg. 2018;44(4):535-550. doi:
10.1007/s00068-018-0959-yPubMedGoogle ScholarCrossref 12.Sierink
JC, Treskes
K, Edwards
MJ,
et al; REACT-2 study group. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial.
Lancet. 2016;388(10045):673-683. doi:
10.1016/S0140-6736(16)30932-1PubMedGoogle ScholarCrossref 17.Geyer
LL, Körner
M, Harrieder
A,
et al. Dose reduction in 64-row whole-body CT in multiple trauma: an optimized CT protocol with iterative image reconstruction on a gemstone-based scintillator.
Br J Radiol. 2016;89(1061):20160003. doi:
10.1259/bjr.20160003PubMedGoogle Scholar 21.Bouillon
B, Pieper
D, Flohé
S,
et al; Polytrauma Guideline Update Group. Level 3 guideline on the treatment of patients with severe/multiple injuries: AWMF Register-Nr. 012/019.
Eur J Trauma Emerg Surg. 2018;44(1)(suppl 1):3-271.
PubMedGoogle ScholarCrossref 23.Hare
NP, Macdonald
AW, Mellor
JP, Younus
M, Chatha
H, Sammy
I. Do clinical guidelines for whole body computerised tomography in trauma improve diagnostic accuracy and reduce unnecessary investigations? a systematic review and narrative synthesis.
Trauma. 2017;19(3):163-174. doi:
10.1177/1460408617700450Google ScholarCrossref 26.Davies
RM, Scrimshire
AB, Sweetman
L, Anderton
MJ, Holt
EM. A decision tool for whole-body CT in major trauma that safely reduces unnecessary scanning and associated radiation risks: an initial exploratory analysis.
Injury. 2016;47(1):43-49. doi:
10.1016/j.injury.2015.08.036PubMedGoogle ScholarCrossref 27.Noël
PB, Fingerle
AA, Renger
B, Münzel
D, Rummeny
EJ, Dobritz
M. Initial performance characterization of a clinical noise-suppressing reconstruction algorithm for MDCT.
AJR Am J Roentgenol. 2011;197(6):1404-1409. doi:
10.2214/AJR.11.6907PubMedGoogle ScholarCrossref 28.Noël
PB, Fingerle
AA, Renger
B, Rummeny
EJ, Doherty
C. A clinical comparison study of a novel statistical iterative and filtered backprojection reconstruction. Paper presented at: SPIE Medical Imaging 2011: Physics of Medical Imaging; Lake Buena Vista, FL: March 16, 2011.
37.Huber-Wagner
S, Biberthaler
P, Häberle
S,
et al; TraumaRegister DGU. Whole-body CT in haemodynamically unstable severely injured patients—a retrospective, multicentre study.
PLoS One. 2013;8(7):e68880. doi:
10.1371/journal.pone.0068880PubMedGoogle Scholar 38.Huber-Wagner
S, Lefering
R, Qvick
LM,
et al; Working Group on Polytrauma of the German Trauma Society. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study.
Lancet. 2009;373(9673):1455-1461. doi:
10.1016/S0140-6736(09)60232-4PubMedGoogle ScholarCrossref 39.Tsutsumi
Y, Fukuma
S, Tsuchiya
A,
et al. Computed tomography during initial management and mortality among hemodynamically unstable blunt trauma patients: a nationwide retrospective cohort study.
Scand J Trauma Resusc Emerg Med. 2017;25(1):74. doi:
10.1186/s13049-017-0396-7PubMedGoogle ScholarCrossref 41.Gordic
S, Alkadhi
H, Hodel
S,
et al. Whole-body CT-based imaging algorithm for multiple trauma patients: radiation dose and time to diagnosis.
Br J Radiol. 2015;88(1047):20140616. doi:
10.1259/bjr.20140616PubMedGoogle Scholar 42.Van Arnem
KA, Supinski
DP
Jr, Tucker
JE, Varney
S. Cumulative effective radiation dose received by blunt trauma patients arriving to a military level I trauma center from point of injury and interhospital transfers.
Am J Emerg Med. 2016;34(12):2397-2401. doi:
10.1016/j.ajem.2016.09.018PubMedGoogle ScholarCrossref 45.Christner
JA, Kofler
JM, McCollough
CH. Estimating effective dose for CT using dose-length product compared with using organ doses: consequences of adopting International Commission on Radiological Protection publication 103 or dual-energy scanning.
AJR Am J Roentgenol. 2010;194(4):881-889. doi:
10.2214/AJR.09.3462PubMedGoogle ScholarCrossref