한국인 중증 외상 환자에서 촬영한 경추 외측면 단순 방사선 영상의 적절성 (The Adequacy of a Cross Table Lateral Cervical X-ray in Severely Traumatized Korean Patients)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 25권 / 4호 / 241 ~ 246페이지
· 저자명 : 이경학, 김영철, 최석호, 한국남, 이수언, 이정은, 서길준, 윤여규

초록

Purpose: The objective of this study was to investigate the appropriateness of the cross table lateral cervical X-ray used in the emergency department for severely traumatized Korean patients.
Methods: Patients visiting our institution from May 2011 to May 2012, who had injury severity score (ISS) >15 and who received a cervical X-ray in the emergency department, were included in this study. Data including demographics, ISS score, GCS score, and place where the x-ray was taken were collected to evaluate their relationship with appropriate coverage of the cervical X-ray. The appropriateness of a cervical cross lateral view Xray was evaluated using exposure of the basion, and the opisthion, as well as the distal level of exposure.
Results: Fifty-two patients were included in this study. The identification rate of the basion was 79.2%, and the identification rate of the opisthion was 88.7%. Complete exposure of C7/T1 was accomplished in 3.8% of the patients. The ISS was higher for X-ray taken in the trauma bay, but the range of exposure showed no difference between the places where the X-rays taken. Patients who had exposure of C 5/6 or more had lower body weight and body mass index (BMI) compared with unexposed patients.
Conclusion: In severely traumatized Korean patients, the adequacy of the cross table lateral cervical X-ray was inappropriate in most cases. No difference was observed in the exposure range between the places where the X-rays were taken, and patients with less exposure showed higher body weight and higher BMI.

영어초록

Purpose: The objective of this study was to investigate the appropriateness of the cross table lateral cervical X-ray used in the emergency department for severely traumatized Korean patients.
Methods: Patients visiting our institution from May 2011 to May 2012, who had injury severity score (ISS) >15 and who received a cervical X-ray in the emergency department, were included in this study. Data including demographics, ISS score, GCS score, and place where the x-ray was taken were collected to evaluate their relationship with appropriate coverage of the cervical X-ray. The appropriateness of a cervical cross lateral view Xray was evaluated using exposure of the basion, and the opisthion, as well as the distal level of exposure.
Results: Fifty-two patients were included in this study. The identification rate of the basion was 79.2%, and the identification rate of the opisthion was 88.7%. Complete exposure of C7/T1 was accomplished in 3.8% of the patients. The ISS was higher for X-ray taken in the trauma bay, but the range of exposure showed no difference between the places where the X-rays taken. Patients who had exposure of C 5/6 or more had lower body weight and body mass index (BMI) compared with unexposed patients.
Conclusion: In severely traumatized Korean patients, the adequacy of the cross table lateral cervical X-ray was inappropriate in most cases. No difference was observed in the exposure range between the places where the X-rays were taken, and patients with less exposure showed higher body weight and higher BMI.

참고자료

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