- Author
-
K. Treskes
- Title
- Immediate total-body CT scanning after severe trauma
- Supervisors
- Co-supervisors
-
T.P. Saltzherr
E.M.M. van Lieshout - Award date
- 12 June 2020
- Number of pages
- 172
- ISBN
- 9789463808101
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
This thesis focuses on the consequences of immediate total-body CT (iTBCT) scanning in comparison to the standard work-up and the indication for iTBCT scanning after severe trauma in a large randomized controlled trial. Next to the effect on clinical outcomes, the effect on clinically relevant time intervals, radiation exposure and health economics effects are evaluated. These effects are also evaluated specifically for patients in need for emergency bleeding control interventions. The criteria for iTBCT are reconsidered in order to select the more severely injured patients and reduce the chance on unnecessary radiation exposure for the less severely injured patients.
- Persistent Identifier
- https://hdl.handle.net/11245.1/629069e8-5606-4286-858b-a37f7821c72d
- Downloads
-
Thesis (complete)
Front matter
Introduction
Chapter 1: Immediate total-body CT scanning versus conventional imaging and selective CT scanning in severe trauma patients: A randomised controlled trial (REACT-2 trial)
Chapter 2: Cost-effectiveness of immediate total-body CT scanning in severe trauma patients (REACT-2 trial)
Chapter 3: Emergency bleeding control interventions after immediate total body CT scans in trauma patients
Chapter 4: Indications for total body computed tomography in blunt trauma patients: A systematic review
Chapter 5: Refining the criteria for immediate total body CT after severe trauma
Chapter 6: High rates of clinically relevant incidental findings by total-body CT scanning in trauma patients; Results of the REACT-2 trial
Chapter 7: Early detection of severe injuries after major trauma by immediate total-body CT scouts
Summary; General discussion and future perspectives; Nederlandse samenvatting; PhD portfolio; List of publications; Dankwoord; Curriculum vitae
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