Effect on survival of whole-body CT during trauma resuscitation.

摘要

Stefan Huber-Wagner and colleagues conclude that "whole-body CT is recommended as a standard diagnostic method during the early resuscitation phase for patients with polytrauma." But should they really make this statement without any valid information about its efficacy and effectiveness? We have made mistakes in this regard in the past. Focused abdominal sono-graphy for trauma, originally praised to the skies, turned out to have an unacceptably low sensitivity and did not prove superior to other algorithms. Huber-Wagner and colleagues are reluctant to discuss the limitations of their database and analyses. They do not take into account the decline in trauma mortality since the mid-1990s, before the introduction of pan-CT.The chosen interval of observation seems tight and arbitrary-why not use the full range of consecutive data available from 1993 to 2008?