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KMID : 0360720120250040241
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Journal of the Korean Society Traumatology
2012 Volume.25 No. 4 p.241 ~ p.246
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The Adequacy of a Cross Table Lateral Cervical X-ray in Severely Traumatized Korean Patients
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Lee Kyung-Hak
Kim Yeong-Cheol
Choi Seok-Ho
Han Kook-Nam
Lee Soo-Eun
Lee Jung-Eun
Suh Kim-Jun
Yoon Yeo-Kyu
Youn Yeo-Kyu
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Abstract
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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.
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KEYWORD
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Multiple trauma, Cervical vertebrae, Radiography
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