{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:07:17Z","timestamp":1783051637146,"version":"3.54.6"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with severe penetrating trauma may require emergency surgery on arrival, and postoperative computed tomography (CT) can reveal significant additional injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the utility of postoperative CT performed within 48 h of emergency surgery after penetrating trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Trauma registry data were retrieved over a seven-year period at a single level 1 trauma center. All patients aged \u226517 years, admitted with penetrating injury, who underwent urgent surgery and postoperative CT imaging within 48 h, were included. Pre- and intraoperative medical records were compared to CT findings. Age, sex, Injury Severity Score (ISS), New Injury Severity Score (NISS), 30-day mortality, injury mechanism, surgical intervention, and intensive care unit length of stay were extracted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 1262 patients, 38 fulfilled the study criteria (36 men [94.7%], 2 women [5.3%]; mean age = 31.5 years. Stab wound (SW) was the most common injury mechanism (26\/38, 68.4%) followed by gunshot wound (GSW; 10\/38, 26.3%). Patients with GSWs were more severely injured than SW victims (median NISS\u2009=\u200934 [range = 3\u201375]; for GSWs\u2009=\u200934; for SWs\u2009=\u200926; P\u2009=\u20090.045). Out of 38 patients, 20 (52.6%) had additional findings at postoperative CT. Six patients (15.8%) had unidentified or underestimated findings at CT that were severe enough to warrant additional surgery or angiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Postoperative CT imaging after emergency surgery in penetrating trauma is an important tool in evaluating the injury panorama. Out of 38 patients, 6 (15.8%) had findings at postoperative CT that warranted additional surgical or angiographic intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851221094966","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T07:06:52Z","timestamp":1651561612000},"page":"684-689","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["CT after emergency surgery in penetrating trauma: a seven-year experience in a level I Nordic trauma center"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0704-4028","authenticated-orcid":false,"given":"Kolbeinn","family":"Halldorsson","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7083-2337","authenticated-orcid":false,"given":"Mari","family":"Nummela","sequence":"additional","affiliation":[{"name":"Radiology, HUS Diagnostic Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2589-439X","authenticated-orcid":false,"given":"Sigurveig","family":"Thorisdottir","sequence":"additional","affiliation":[{"name":"Department of Radiology, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Oladottir","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9406-7676","authenticated-orcid":false,"given":"Seppo","family":"Koskinen","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"bibr1-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2312030027"},{"key":"bibr2-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2016151946"},{"key":"bibr3-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1177\/2058460119895485"},{"key":"bibr4-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1177\/0284185120902389"},{"key":"bibr5-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-016-4260-3"},{"key":"bibr6-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.06.044"},{"key":"bibr7-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001558"},{"key":"bibr8-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-018-1045-1"},{"key":"bibr9-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1177\/145749690409300305"},{"key":"bibr10-02841851221094966","doi-asserted-by":"crossref","DOI":"10.1186\/s13049-021-00895-1","volume":"29","author":"Bieler D","year":"2021","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"bibr11-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-007-7129-y"},{"key":"bibr12-02841851221094966","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.18496"},{"key":"bibr13-02841851221094966","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1997.tb03546.x"},{"key":"bibr14-02841851221094966","unstructured":"Svenska Trauma Registret \u00c5rsrapport. 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