NCT05588791

Relevance of Whole-body Computed Tomography Prescription in the Emergency Department : an Identification Tool for Low Risk Patients

Pertinence de la PREscription du Scanner Corps-Entier Aux Urgences : un Outil d'Identification Des Patients à Bas Risque

• Status: Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 2,018 (estimated)
• Sponsor: University Hospital, Rouen · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: —

Summary

The whole-body scanner (SCE) is a powerful examination that guides the management of patients severely traumatized. However, the systematic use of this examination in emergency departments is responsible for a large proportion of normal examinations. In addition to the non-negligible direct cost, the average irradiation of 20 mSv would give an adult a 1 in 1000 risk of developing a cancer. The Vittel score makes it possible to categorize pre-hospital patients as seriously traumatized to guide the sending of resources and direct them to a center equipped with a suitable technical platform. The use of this score to condition the prescription of the ECS is at the origin of an over-triage important since one out of two patients who validates at least one criterion has no lesion on imaging. The purpose of this research project is to validate a decision support tool to objectively guide the emergency physician in its use of the ECS. At the same time, the economic impact of such a procedure will be analysed.

Conditions

• Trauma

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	whole-body computed tomography	whole-body computed tomography prescription in the emergency department : an identification tool for low risk patients

Timeline

• Start date: 2023-06-23
• Primary completion: 2026-06-01
• Completion: 2026-12-01
• First posted: 2022-10-20
• Last updated: 2024-10-08

Locations

1 site across 1 country: France