Use of oral contrast for abdominal computed tomography in children with blunt torso trauma

Angela M. Ellison; Kimberly S. Quayle; Bema Bonsu; Madelyn Garcia; Stephen Blumberg; Alexander Rogers; Sandra L. Wootton-Gorges; Benjamin T. Kerrey; Lawrence J. Cook; Arthur Cooper; Nathan Kuppermann; James F Holmes Jr; N. Kuppermann; E. Alpern; D. Borgialli; J. Callahan; J. Chamberlain; P. Dayan; J. M. Dean; M. Gerardi; M. Gorelick; J. Hoyle; E. Jacobs; D. Jaffe; R. Lichenstein; K. Lillis; P. Mahajan; R. Maio; D. Monroe; R. Ruddy; R. Stanley; M. Tunik; A. Walker; D. Kavanaugh; H. Park

doi:10.1016/j.annemergmed.2015.01.014

Use of oral contrast for abdominal computed tomography in children with blunt torso trauma

Angela M. Ellison, Kimberly S. Quayle, Bema Bonsu, Madelyn Garcia, Stephen Blumberg, Alexander Rogers, Sandra L. Wootton-Gorges, Benjamin T. Kerrey, Lawrence J. Cook, Arthur Cooper, Nathan Kuppermann, James F Holmes Jr, N. Kuppermann, E. Alpern, D. Borgialli, J. Callahan, J. Chamberlain, P. Dayan, J. M. Dean, M. GerardiM. Gorelick, J. Hoyle, E. Jacobs, D. Jaffe, R. Lichenstein, K. Lillis, P. Mahajan, R. Maio, D. Monroe, R. Ruddy, R. Stanley, M. Tunik, A. Walker, D. Kavanaugh, H. Park

Research output: Contribution to journal › Article

6 Scopus citations

Abstract

Study objective We compare test characteristics of abdominal computed tomography (CT) with and without oral contrast for identifying intra-abdominal injuries. Methods This was a planned subanalysis of a prospective, multicenter study of children (contrast 99.2% (95% confidence interval [CI] 95.7% to 100.0%) versus sensitivity_{no contrast} 97.7% (95% CI 96.1% to 98.8%), difference 1.5% (95% CI-0.4% to 3.5%). The specificity of the oral contrast versus no oral contrast groups was specificity_contrast 84.7% (95% CI 82.2% to 87.0%) versus specificity_{no contrast} 80.8% (95% CI 79.4% to 82.1%), difference 4.0% (95% CI 1.3% to 6.7%). Conclusion Oral contrast is still used in a substantial portion of children undergoing abdominal CT after blunt torso trauma. With the exception of a slightly better specificity, test characteristics for detecting intra-abdominal injury were similar between CT with and without oral contrast.

Original language	English (US)
Pages (from-to)	107-114.e4
Journal	Annals of Emergency Medicine
Volume	66
Issue number	2
DOIs	https://doi.org/10.1016/j.annemergmed.2015.01.014
State	Published - Aug 1 2015

ASJC Scopus subject areas

Emergency Medicine

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Ellison, A. M., Quayle, K. S., Bonsu, B., Garcia, M., Blumberg, S., Rogers, A., Wootton-Gorges, S. L., Kerrey, B. T., Cook, L. J., Cooper, A., Kuppermann, N., Holmes Jr, J. F., Kuppermann, N., Alpern, E., Borgialli, D., Callahan, J., Chamberlain, J., Dayan, P., Dean, J. M., ... Park, H. (2015). Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. Annals of Emergency Medicine, 66(2), 107-114.e4. https://doi.org/10.1016/j.annemergmed.2015.01.014

Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. / Ellison, Angela M.; Quayle, Kimberly S.; Bonsu, Bema; Garcia, Madelyn; Blumberg, Stephen; Rogers, Alexander; Wootton-Gorges, Sandra L.; Kerrey, Benjamin T.; Cook, Lawrence J.; Cooper, Arthur; Kuppermann, Nathan ; Holmes Jr, James F; Kuppermann, N.; Alpern, E.; Borgialli, D.; Callahan, J.; Chamberlain, J.; Dayan, P.; Dean, J. M.; Gerardi, M.; Gorelick, M.; Hoyle, J.; Jacobs, E.; Jaffe, D.; Lichenstein, R.; Lillis, K.; Mahajan, P.; Maio, R.; Monroe, D.; Ruddy, R.; Stanley, R.; Tunik, M.; Walker, A.; Kavanaugh, D.; Park, H.

In: Annals of Emergency Medicine, Vol. 66, No. 2, 01.08.2015, p. 107-114.e4.

Research output: Contribution to journal › Article

Ellison, AM, Quayle, KS, Bonsu, B, Garcia, M, Blumberg, S, Rogers, A, Wootton-Gorges, SL, Kerrey, BT, Cook, LJ, Cooper, A, Kuppermann, N , Holmes Jr, JF, Kuppermann, N, Alpern, E, Borgialli, D, Callahan, J, Chamberlain, J, Dayan, P, Dean, JM, Gerardi, M, Gorelick, M, Hoyle, J, Jacobs, E, Jaffe, D, Lichenstein, R, Lillis, K, Mahajan, P, Maio, R, Monroe, D, Ruddy, R, Stanley, R, Tunik, M, Walker, A, Kavanaugh, D & Park, H 2015, 'Use of oral contrast for abdominal computed tomography in children with blunt torso trauma', Annals of Emergency Medicine, vol. 66, no. 2, pp. 107-114.e4. https://doi.org/10.1016/j.annemergmed.2015.01.014

Ellison, Angela M. ; Quayle, Kimberly S. ; Bonsu, Bema ; Garcia, Madelyn ; Blumberg, Stephen ; Rogers, Alexander ; Wootton-Gorges, Sandra L. ; Kerrey, Benjamin T. ; Cook, Lawrence J. ; Cooper, Arthur ; Kuppermann, Nathan ; Holmes Jr, James F ; Kuppermann, N. ; Alpern, E. ; Borgialli, D. ; Callahan, J. ; Chamberlain, J. ; Dayan, P. ; Dean, J. M. ; Gerardi, M. ; Gorelick, M. ; Hoyle, J. ; Jacobs, E. ; Jaffe, D. ; Lichenstein, R. ; Lillis, K. ; Mahajan, P. ; Maio, R. ; Monroe, D. ; Ruddy, R. ; Stanley, R. ; Tunik, M. ; Walker, A. ; Kavanaugh, D. ; Park, H. / Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. In: Annals of Emergency Medicine. 2015 ; Vol. 66, No. 2. pp. 107-114.e4.

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title = "Use of oral contrast for abdominal computed tomography in children with blunt torso trauma",

abstract = "Study objective We compare test characteristics of abdominal computed tomography (CT) with and without oral contrast for identifying intra-abdominal injuries. Methods This was a planned subanalysis of a prospective, multicenter study of children (contrast 99.2% (95% confidence interval [CI] 95.7% to 100.0%) versus sensitivityno contrast 97.7% (95% CI 96.1% to 98.8%), difference 1.5% (95% CI-0.4% to 3.5%). The specificity of the oral contrast versus no oral contrast groups was specificitycontrast 84.7% (95% CI 82.2% to 87.0%) versus specificityno contrast 80.8% (95% CI 79.4% to 82.1%), difference 4.0% (95% CI 1.3% to 6.7%). Conclusion Oral contrast is still used in a substantial portion of children undergoing abdominal CT after blunt torso trauma. With the exception of a slightly better specificity, test characteristics for detecting intra-abdominal injury were similar between CT with and without oral contrast.",

author = "Ellison, {Angela M.} and Quayle, {Kimberly S.} and Bema Bonsu and Madelyn Garcia and Stephen Blumberg and Alexander Rogers and Wootton-Gorges, {Sandra L.} and Kerrey, {Benjamin T.} and Cook, {Lawrence J.} and Arthur Cooper and Nathan Kuppermann and {Holmes Jr}, {James F} and N. Kuppermann and E. Alpern and D. Borgialli and J. Callahan and J. Chamberlain and P. Dayan and Dean, {J. M.} and M. Gerardi and M. Gorelick and J. Hoyle and E. Jacobs and D. Jaffe and R. Lichenstein and K. Lillis and P. Mahajan and R. Maio and D. Monroe and R. Ruddy and R. Stanley and M. Tunik and A. Walker and D. Kavanaugh and H. Park",

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AU - Ellison, Angela M.

AU - Quayle, Kimberly S.

AU - Bonsu, Bema

AU - Garcia, Madelyn

AU - Blumberg, Stephen

AU - Rogers, Alexander

AU - Wootton-Gorges, Sandra L.

AU - Kerrey, Benjamin T.

AU - Cook, Lawrence J.

AU - Cooper, Arthur

AU - Kuppermann, Nathan

AU - Holmes Jr, James F

AU - Kuppermann, N.

AU - Alpern, E.

AU - Borgialli, D.

AU - Callahan, J.

AU - Chamberlain, J.

AU - Dayan, P.

AU - Dean, J. M.

AU - Gerardi, M.

AU - Gorelick, M.

AU - Hoyle, J.

AU - Jacobs, E.

AU - Jaffe, D.

AU - Lichenstein, R.

AU - Lillis, K.

AU - Mahajan, P.

AU - Maio, R.

AU - Monroe, D.

AU - Ruddy, R.

AU - Stanley, R.

AU - Tunik, M.

AU - Walker, A.

AU - Kavanaugh, D.

AU - Park, H.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Study objective We compare test characteristics of abdominal computed tomography (CT) with and without oral contrast for identifying intra-abdominal injuries. Methods This was a planned subanalysis of a prospective, multicenter study of children (contrast 99.2% (95% confidence interval [CI] 95.7% to 100.0%) versus sensitivityno contrast 97.7% (95% CI 96.1% to 98.8%), difference 1.5% (95% CI-0.4% to 3.5%). The specificity of the oral contrast versus no oral contrast groups was specificitycontrast 84.7% (95% CI 82.2% to 87.0%) versus specificityno contrast 80.8% (95% CI 79.4% to 82.1%), difference 4.0% (95% CI 1.3% to 6.7%). Conclusion Oral contrast is still used in a substantial portion of children undergoing abdominal CT after blunt torso trauma. With the exception of a slightly better specificity, test characteristics for detecting intra-abdominal injury were similar between CT with and without oral contrast.

AB - Study objective We compare test characteristics of abdominal computed tomography (CT) with and without oral contrast for identifying intra-abdominal injuries. Methods This was a planned subanalysis of a prospective, multicenter study of children (contrast 99.2% (95% confidence interval [CI] 95.7% to 100.0%) versus sensitivityno contrast 97.7% (95% CI 96.1% to 98.8%), difference 1.5% (95% CI-0.4% to 3.5%). The specificity of the oral contrast versus no oral contrast groups was specificitycontrast 84.7% (95% CI 82.2% to 87.0%) versus specificityno contrast 80.8% (95% CI 79.4% to 82.1%), difference 4.0% (95% CI 1.3% to 6.7%). Conclusion Oral contrast is still used in a substantial portion of children undergoing abdominal CT after blunt torso trauma. With the exception of a slightly better specificity, test characteristics for detecting intra-abdominal injury were similar between CT with and without oral contrast.

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