Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients
Abstract
:1. Introduction
2. Methods
2.1. CT-Scan-Protocol
2.2. MRI-Scan-Protocol
2.3. Statistical Analysis
3. Results
3.1. Demographic Data
3.2. Timing of MRI
3.3. Injury Overview
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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CT Group | MRI Group | |
---|---|---|
Number (n) | 568 | 12 |
Male (n/%) | 410/72.2% | 6/50.0% |
Age (years ± SD) | 48.96 ± 21.82 | 44.67 ± 21.36 |
ISS (∅ ± SD) | 30.60 ± 15.86 | 32.73 ± 17.92 |
GCS (∅ ± SD) | 10.71 ± 4.84 | 11.75 ± 4.40 |
Intubation (n/%) | 317/60.3% | 3/25.0% |
Door-to-image (min ± SD) | 27.48 ± 8.03 | 111.45 ± 45.9 |
Working Hours | Number | Percent (%) |
---|---|---|
Dayshift Monday-Friday; 8 a.m.–4 p.m. | 4 | 33.33 |
Nightshift Monday-Friday; 4 p.m.–8 a.m. | 6 | 50 |
Weekend Saturday + Sunday | 2 | 16.67 |
CT Group | MRI Group | |
---|---|---|
Head (n/%) | 286/50.4 | 5/41.7 |
Face (n/%) | 62/10.9 | 0/0 |
Thorax (n/%) | 277/48.8 | 5/41.7 |
Abdomen (n/%) | 79/13.9 | 0/0 |
Spine (n/%) | 96/16.9 | 10/83.3 |
Upper extremities (n/%) | 28/4.9 | 0/0 |
Lower extremities (n/%) | 117/20.6 | 0/0 |
Pelvic (n/%) | 87/15.3 | 2/16.7 |
Neck (n/%) | 24/4.2 | 3/25 |
Soft tissues (n/%) | 6/1.1 | 0/0 |
Sex | Age in Years | Diagnosis MRI (Non Detectable by CT) | Therapeutic Consequence | Duration in Min | No. of Sequences |
---|---|---|---|---|---|
m | 36 | Lig. flavum rupture, epidural hematoma, Lig. long. post. Rupture, fracture T11 | y | 16 | 3 |
m | 19 | None | n | 42 | 10 |
m | 40 | None | n | 24 | 6 |
f | 17 | Myelopathy, vertebral artery injury | y | 43 | 6 |
m | 18 | Internal carotid artery injury | y | 20 | 5 |
f | 50 | Myelopathy, Lig. Long. Ant. and post. Rupture | y | 80 | 7 |
f | 75 | Discal injury, myelopathy | y | 15 | 4 |
m | 47 | Myelopathy | n | 51 | 7 |
f | 80 | Myelopathy | n | 11 | 4 |
f | 50 | Internal carotid artery injury bilateral, stroke | y | 16 | 8 |
f | 37 | Epidural hematoma, myelopathy | n | 14 | 5 |
m | 67 | Fracture T4+5, vertebral artery dissections, myelopathy | y | 50 | 11 |
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Popp, D.; Kerschbaum, M.; Mahr, D.; Thiedemann, C.; Ernstberger, A.; Wiesinger, I.; Bäumler, W.; Alt, V.; Schicho, A. Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients. Medicina 2021, 57, 982. https://doi.org/10.3390/medicina57090982
Popp D, Kerschbaum M, Mahr D, Thiedemann C, Ernstberger A, Wiesinger I, Bäumler W, Alt V, Schicho A. Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients. Medicina. 2021; 57(9):982. https://doi.org/10.3390/medicina57090982
Chicago/Turabian StylePopp, Daniel, Maximilian Kerschbaum, Daniel Mahr, Claudius Thiedemann, Antonio Ernstberger, Isabel Wiesinger, Wolf Bäumler, Volker Alt, and Andreas Schicho. 2021. "Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients" Medicina 57, no. 9: 982. https://doi.org/10.3390/medicina57090982
APA StylePopp, D., Kerschbaum, M., Mahr, D., Thiedemann, C., Ernstberger, A., Wiesinger, I., Bäumler, W., Alt, V., & Schicho, A. (2021). Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients. Medicina, 57(9), 982. https://doi.org/10.3390/medicina57090982