{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T02:14:53Z","timestamp":1775096093057,"version":"3.50.1"},"reference-count":30,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2012,5]]},"DOI":"10.1016\/j.ajem.2011.02.016","type":"journal-article","created":{"date-parts":[[2011,6,19]],"date-time":"2011-06-19T10:42:11Z","timestamp":1308480131000},"page":"574-579","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":50,"title":["Rate of intra-abdominal injury after a normal abdominal computed tomographic scan in adults with blunt trauma"],"prefix":"10.1016","volume":"30","author":[{"given":"James F.","family":"Holmes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"McGahan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Wisner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajem.2011.02.016_bb0005","first-page":"1","article-title":"Deaths: final data for 2006","volume":"57","author":"Heron","year":"2009","journal-title":"Natl Vital Stat Rep"},{"key":"10.1016\/j.ajem.2011.02.016_bb0010","first-page":"1","article-title":"Deaths: final data for 2005","volume":"56","author":"Kung","year":"2008","journal-title":"Natl Vital Stat Rep"},{"key":"10.1016\/j.ajem.2011.02.016_bb0015","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1097\/00005373-200003000-00007","article-title":"Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience","volume":"48","author":"Fakhry","year":"2000","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0020","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1177\/000313480306900404","article-title":"Delay in diagnosis of hollow viscus injuries: effect on outcome","volume":"69","author":"Niederee","year":"2003","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2011.02.016_bb0025","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1097\/PEC.0b013e3181b0a07d","article-title":"Ten-year retrospective study of delayed diagnosis of injury in pediatric trauma patients at a level II trauma center","volume":"25","author":"Williams","year":"2009","journal-title":"Pediatr Emerg Care"},{"key":"10.1016\/j.ajem.2011.02.016_bb0030","first-page":"647","article-title":"Computed tomography: an unreliable indicator of pancreatic trauma","volume":"62","author":"Akhrass","year":"1996","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2011.02.016_bb0035","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1097\/00005373-199805000-00024","article-title":"Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma","volume":"44","author":"Brasel","year":"1998","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0040","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1097\/00005373-198810000-00006","article-title":"Gastrointestinal disruption: the hazard of nonoperative management in adults with blunt abdominal injury","volume":"28","author":"Fischer","year":"1988","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0045","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1177\/000313480206800809","article-title":"Efficacy of computed tomography in the diagnosis of pancreatic injury in adult blunt trauma patients: a single-institutional study","volume":"68","author":"Ilahi","year":"2002","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2011.02.016_bb0050","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/00005373-199802000-00005","article-title":"Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial","volume":"44","author":"Livingston","year":"1998","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0055","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1148\/radiol.2492072055","article-title":"Surgically important bowel and\/or mesenteric injury in blunt trauma: accuracy of multidetector CT for evaluation","volume":"249","author":"Atri","year":"2008","journal-title":"Radiology"},{"key":"10.1016\/j.ajem.2011.02.016_bb0060","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/S0196-0644(03)00727-3","article-title":"Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries","volume":"43","author":"Holmes","year":"2004","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0065","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0009-9260(98)80099-8","article-title":"Diagnostic accuracy of helical CT for detection of blunt bowel and mesenteric injuries","volume":"53","author":"Janzen","year":"1998","journal-title":"Clin Radiol"},{"key":"10.1016\/j.ajem.2011.02.016_bb0070","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/00005373-200107000-00005","article-title":"Helical computed tomography of bowel and mesenteric injuries","volume":"51","author":"Killeen","year":"2001","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0075","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1148\/radiol.2333031972","article-title":"Blunt abdominal trauma: performance of CT without oral contrast material","volume":"233","author":"Stuhlfaut","year":"2004","journal-title":"Radiology"},{"key":"10.1016\/j.ajem.2011.02.016_bb0080","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1111\/j.1553-2712.2008.00226.x","article-title":"Is hospital admission and observation required after a normal abdominal computed tomography scan in children with blunt abdominal trauma?","volume":"15","author":"Awasthi","year":"2008","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0085","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1111\/j.1553-2712.2010.00737.x","article-title":"The risk of intra-abdominal injuries in pediatric patients with stable blunt abdominal trauma and negative abdominal computed tomography","volume":"17","author":"Hom","year":"2010","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0090","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.2214\/ajr.169.4.9308453","article-title":"Blunt abdominal trauma in children: impact of CT on operative and nonoperative management","volume":"169","author":"Ruess","year":"1997","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.ajem.2011.02.016_bb0095","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1177\/000313489906501015","article-title":"Abdominal computed tomography scan in pediatric blunt abdominal trauma","volume":"65","author":"Sievers","year":"1999","journal-title":"Am Surg"},{"key":"10.1016\/j.ajem.2011.02.016_bb0100","first-page":"67","article-title":"Diagnostic accuracy of CT scan in abdominal blunt trauma","volume":"12","author":"Salimi","year":"2009","journal-title":"Chin J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0105","first-page":"641","article-title":"An evaluation of multidetector computed tomography in detecting pancreatic injury: results of a multicenter AAST study","volume":"66","author":"Phelan","year":"2009","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0110","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1097\/00005373-200211000-00014","article-title":"23-Hour observation solely for identification of missed injuries after trauma: is it justified?","volume":"53","author":"Stephan","year":"2002","journal-title":"J Trauma"},{"key":"10.1016\/j.ajem.2011.02.016_bb0135","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1056\/NEJMe1000802","article-title":"Medical imaging in the 21st century--getting the best bang for the rad","volume":"362","author":"Brenner","year":"2010","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.ajem.2011.02.016_bb0140","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1056\/NEJMra072149","article-title":"Computed tomography--an increasing source of radiation exposure","volume":"357","author":"Brenner","year":"2007","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.ajem.2011.02.016_bb0145","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s10140-006-0493-9","article-title":"Increasing utilization of computed tomography in the adult emergency department, 2000-2005","volume":"13","author":"Broder","year":"2006","journal-title":"Emerg. Radiol."},{"key":"10.1016\/j.ajem.2011.02.016_bb0150","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.annemergmed.2009.04.007","article-title":"Clinical prediction rules for identifying adults at very low risk for intra-abdominal injuries after blunt trauma","volume":"54","author":"Holmes","year":"2009","journal-title":"Ann. Emerg. Med."},{"key":"10.1016\/j.ajem.2011.02.016_bb0115","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1067\/mem.2002.122901","article-title":"A clinical decision rule for identifying children with thoracic injuries after blunt torso trauma","volume":"39","author":"Holmes","year":"2002","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0120","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1067\/mem.2002.122900","article-title":"Identification of children with intra-abdominal injuries after blunt trauma","volume":"39","author":"Holmes","year":"2002","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0125","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1067\/S0196-0644(03)00425-6","article-title":"A decision rule for identifying children at low risk for brain injuries after blunt head trauma","volume":"42","author":"Palchak","year":"2003","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.ajem.2011.02.016_bb0130","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1001\/archsurg.134.6.622","article-title":"Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study","volume":"134","author":"Stafford","year":"1999","journal-title":"Arch Surg"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675711000817?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675711000817?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:16:54Z","timestamp":1760023014000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675711000817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["S0735675711000817"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2011.02.016","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2012,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rate of intra-abdominal injury after a normal abdominal computed tomographic scan in adults with blunt trauma","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2011.02.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2012 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}