Abstract：
BACKGROUND: Optimal screening for BCVI in pediatric trauma patients remains debated. We hypothesized screening with CTAN would decrease the number of duplicate CT scans per patient and increase BCVI detection rate.
METHODS: Local BCVI screening institutional protocol changed May 2022 to include Computed Tomography angiography neck (CTAN). We performed a retrospective review of pediatric blunt trauma patients presenting at our Level 1 trauma center between 2019 and 2023. Patients before and after implementation of universal screening were compared for demographic, clinical, radiographic, and outcome data.
RESULTS: Six-hundred-eight patients were included with 368 before and 240 after the protocol change. Screening with CTAN decreased the number of duplicate neck scans (5.7%vs.2.1 %,p = 0.03) and increased BCVI detection rate (0.27%v.2.5 %,p = 0.01). Of the seven patients diagnosed with BCVI 2019-2023, no patients suffered any stroke-related morbidity.
CONCLUSIONS: Universal screening for BCVI in pediatric patients with CTAN resulted in fewer scans and an increased BCVI detection rate.
METHODS: Local BCVI screening institutional protocol changed May 2022 to include Computed Tomography angiography neck (CTAN). We performed a retrospective review of pediatric blunt trauma patients presenting at our Level 1 trauma center between 2019 and 2023. Patients before and after implementation of universal screening were compared for demographic, clinical, radiographic, and outcome data.
RESULTS: Six-hundred-eight patients were included with 368 before and 240 after the protocol change. Screening with CTAN decreased the number of duplicate neck scans (5.7%vs.2.1 %,p = 0.03) and increased BCVI detection rate (0.27%v.2.5 %,p = 0.01). Of the seven patients diagnosed with BCVI 2019-2023, no patients suffered any stroke-related morbidity.
CONCLUSIONS: Universal screening for BCVI in pediatric patients with CTAN resulted in fewer scans and an increased BCVI detection rate.
摘要：
背景：儿科创伤患者BCVI的最佳筛查仍存在争议。我们假设使用CTAN进行筛查可以减少每位患者的重复CT扫描次数并提高BCVI检出率。
方法：当地BCVI筛查机构方案于2022年5月进行了更改，以包括计算机断层扫描颈部血管造影（CTAN）。我们对2019年至2023年在我们的1级创伤中心就诊的小儿钝性创伤患者进行了回顾性审查。实施普遍筛查前后的患者进行人口统计学比较，临床,射线照相,和结果数据。
结果：在方案改变之前和之后分别纳入了368名和240名患者。CTAN筛查减少了重复颈部扫描的数量(5.7%vs.2.1%，p=0.03)，并提高BCVI检出率(0.27%v.2.5%，p=0.01）。在2019-2023年被诊断为BCVI的7名患者中，没有患者出现任何与中风相关的发病率。
结论：在患有CTAN的儿科患者中进行BCVI的通用筛查可减少扫描次数，提高BCVI检出率。
方法：当地BCVI筛查机构方案于2022年5月进行了更改，以包括计算机断层扫描颈部血管造影（CTAN）。我们对2019年至2023年在我们的1级创伤中心就诊的小儿钝性创伤患者进行了回顾性审查。实施普遍筛查前后的患者进行人口统计学比较，临床,射线照相,和结果数据。
结果：在方案改变之前和之后分别纳入了368名和240名患者。CTAN筛查减少了重复颈部扫描的数量(5.7%vs.2.1%，p=0.03)，并提高BCVI检出率(0.27%v.2.5%，p=0.01）。在2019-2023年被诊断为BCVI的7名患者中，没有患者出现任何与中风相关的发病率。
结论：在患有CTAN的儿科患者中进行BCVI的通用筛查可减少扫描次数，提高BCVI检出率。
