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 journalArticle

6 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)107-114.e4
JournalAnnals of Emergency Medicine
Volume66
Issue number2
DOIs
StatePublished - Aug 1 2015

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Torso
Tomography
Confidence Intervals
Wounds and Injuries
Abdominal Injuries
Multicenter Studies
Prospective Studies

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Ellison, A. M., Quayle, K. S., Bonsu, B., Garcia, M., Blumberg, S., Rogers, A., ... 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 journalArticle

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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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.",
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T1 - Use of oral contrast for abdominal computed tomography in children with blunt torso trauma

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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