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Analysis of death in major trauma: value of prompt post mortem computed tomography (pmCT) in comparison to office hour autopsy

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, March 2016
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Title
Analysis of death in major trauma: value of prompt post mortem computed tomography (pmCT) in comparison to office hour autopsy
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, March 2016
DOI 10.1186/s13049-016-0231-6
Pubmed ID
Authors

MArkus Schmitt-Sody, Stefanie Kurz, MAximilian REiser, Karl Georg Kanz, Chlodwig Kirchhoff, Oliver Peschel, Sonja Kirchhoff

Abstract

To analyze diagnostic accuracy of prompt post mortem Computed Tomography (pmCT) in determining causes of death in patients who died during trauma room management and to compare the results to gold standard autopsy during office hours. Multiple injured patients who died during trauma room care were enrolled. PmCT was performed immediately followed by autopsy during office hours. PmCT and autopsy were analyzed primarily regarding pmCT ability to find causes of death and secondarily to define exact causes of death including accurate anatomic localizations. For the secondary analysis data was divided in group-I with equal results of pmCT and autopsy, group-II with autopsy providing superior results and group-III with pmCT providing superior information contributing to but not majorly causing death. Seventeen multiple trauma patients were enrolled. Since multiple trauma patients were enrolled more injuries than patients are provided. Eight patients sustained deadly head injuries (47.1 %), 11 chest (64.7 %), 4 skeletal system (23.5 %) injuries and one patient drowned (5.8 %). Primary analysis revealed in 16/17 patients (94.1 %) causes of death in accordance with autopsy. Secondary analysis revealed in 9/17 cases (group-I) good agreement of autopsy and pmCT. In seven cases autopsy provided superior results (group-II) whereas in 1 case pmCT found more information (group-III). The presented work studied the diagnostic value of pmCT in defining causes of death in comparison to standard autopsy. Primary analysis revealed that in 94.1% of cases pmCT was able to define causes of death even if only indirect signs were present. Secondary analysis showed that pmCT and autopsy showed equal results regarding causes of death in 52.9%. PmCT is useful in traumatic death allowing for an immediate identification of causes of death and providing detailed information on bony lesions, brain injuries and gas formations. It is advisable to conduct pmCT especially in cases without consent to autopsy to gain information about possible causes of death and to rule out possible clinical errors.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 46 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 2%
Unknown 45 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 13%
Researcher 5 11%
Student > Bachelor 5 11%
Other 4 9%
Professor 3 7%
Other 9 20%
Unknown 14 30%
Readers by discipline Count As %
Medicine and Dentistry 19 41%
Nursing and Health Professions 3 7%
Biochemistry, Genetics and Molecular Biology 2 4%
Psychology 2 4%
Immunology and Microbiology 1 2%
Other 3 7%
Unknown 16 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 May 2018.
All research outputs
#18,725,519
of 23,877,717 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#1,151
of 1,287 outputs
Outputs of similar age
#210,519
of 304,316 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#50
of 53 outputs
Altmetric has tracked 23,877,717 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,287 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.4. This one is in the 7th percentile – i.e., 7% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 304,316 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 53 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.