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.
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。