{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:12:46Z","timestamp":1789042366075,"version":"build-2803163510"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We aimed to evaluate the findings of whole-body computed tomography (WBCT) in pediatric high-energy trauma patients and to determine the distribution of injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The WBCT images of 1132 pediatric patients who were admitted to emergency department between 2013 and 2018 for high-energy trauma were evaluated retrospectively. Six hundred and twenty patients with abdominal, chest, head, and skeletal injuries were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Using the WBCT images, we detected skeletal injuries in 557 pediatric patients; spinal, rib, extremity, and pelvic fractures were detected in 113, 57, 51, and 37 patients, respectively. Craniofacial fractures were viewed in 299 patients. We detected intracranial hemorrhage, pulmonary contusion, pneumothorax, and solid organ injuries in 102, 115, 45, and 55 pediatric patients, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The frequency and distribution of injuries in trauma cases vary between adults and children. While there are many studies about whole-body CT findings of adult trauma, there are only a few studies about pediatric high-energy trauma patients. The traumatic injury types also differ in pediatric age groups. WBCT scan (with pediatric radiation dose) is the fast and accurate diagnostic tool in high-energy trauma cases and therefore is associated with low mortality rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_3_20","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T02:48:05Z","timestamp":1692586085000},"page":"127-131","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of Pediatric High-Energy Trauma Patients with Whole-Body Computed Tomography"],"prefix":"10.4103","volume":"24","author":[{"given":"ZB","family":"Ayd\u0131n","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-21-20240907","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1136\/bmj.300.6717.87","article-title":"Avoidable factors contributing to death of children with head injury","volume":"300","author":"Sharples","year":"1990","journal-title":"BMJ"},{"key":"R2-21-20240907","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s11547-014-0469-x","article-title":"Diagnostic \u0131maging \u0131n pediatric polytrauma management","volume":"120","author":"Miele","year":"2015","journal-title":"Radiol Med"},{"key":"R3-21-20240907","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1542\/peds.112.4.951","article-title":"Computed tomography and radiation risks: What pediatric health care providers should know","volume":"112","author":"Frush","year":"2003","journal-title":"Pediatrics"},{"key":"R4-21-20240907","first-page":"E24","article-title":"Diagnostic radiation exposure in pediatric trauma patients","volume":"70","author":"Brunetti","year":"2011","journal-title":"J Trauma"},{"key":"R5-21-20240907","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1053\/j.sempedsurg.2010.06.004","article-title":"Managing radiation risk in the evaluation of the pediatric trauma patient","volume":"19","author":"Scaife","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"R6-21-20240907","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/TA.0000000000000414","article-title":"Whole-body computed tomographic scanning leads to better survival as opposed to selective scanning in trauma patients: A systematic review and meta-analysis","volume":"77","author":"Caputo","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"R7-21-20240907","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1016\/j.injury.2017.06.003","article-title":"A meta-analysis of the efficacy of whole-body computed tomography imaging in the management of trauma and injury","volume":"48","author":"Chidambaram","year":"2017","journal-title":"Injury"},{"key":"R8-21-20240907","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1097\/00007632-198311000-00003","article-title":"The three column spine and its significance in the classification of acute thoracolumbar spinal injuries","volume":"8","author":"Denis","year":"1983","journal-title":"Spine"},{"key":"R9-21-20240907","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1007\/s10140-015-1332-7","article-title":"Pediatric trauma care with computed tomography-criteria for CT scanning","volume":"22","author":"Muhm","year":"2015","journal-title":"Emerg Radiol"},{"key":"R10-21-20240907","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/00001199-200611000-00009","article-title":"Incidence of traumatic brain injury in the United States, 2003","volume":"21","author":"Rutland-Brown","year":"2006","journal-title":"J Head Trauma Rehabil"},{"key":"R11-21-20240907","doi-asserted-by":"crossref","first-page":"2339","DOI":"10.1097\/BRS.0b013e3181558886","article-title":"Pediatric spinal injury type and severity are age and mechanism dependent","volume":"32","author":"Bilston","year":"2007","journal-title":"Spine"},{"key":"R12-21-20240907","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/S0031-3955(05)70447-8","article-title":"Management of common orthopaedic fractures","volume":"43","author":"England","year":"1996","journal-title":"Pediatr Clin North Am"},{"key":"R13-21-20240907","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/S0733-8627(05)70103-6","article-title":"Emergency department evaluation and treatment of pediatric orthopedic injuries","volume":"17","author":"Della-Giustina","year":"1999","journal-title":"Emerg Med Clin North Am"},{"key":"R14-21-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF02020209","article-title":"CT of blunt chest trauma in children","volume":"23","author":"Manson","year":"1993","journal-title":"Pediatr Radiol"},{"key":"R15-21-20240907","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/jpsu.2003.50169","article-title":"Should helical CT scanning of the thoracic cavity replace the conventional chest xray as a primary assessment tool in pediatric trauma? 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