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OpenTrials
Completed

NCT Number: NCT05138536

CT Change Management in Trauma Patients

In high-volume trauma centers, multi-slice CT scanners have become the routine imaging modality for screening trauma patients due to their speed and accuracy. In trauma patients with no known neurologic deficits, diagnostic CT is often obtained though it remains unclear whether this affects management of the patient [1]. With the growing cost of health care, a careful look at the benefit and cost of CT is needed to determine how to best utilize this modality in the evaluation of trauma patients.

HYPOTHESIS: In trauma patients with absence of neurologic defects, the addition of comprehensive CT does not change overall clinical management.

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Key information

Conditions

Trauma Nervous System Diseases Neurologic Deficits Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Methodist Dallas Medical Center

Dallas, Texas, 75203, United States

About this study

Objectives: The primary objective of this study is to determine the benefit of the CT scan in the clinical management or outcomes of the trauma patients with no neurologic deficits.

Primary Outcome: Percentage of trauma patients with no known neurologic deficits who underwent a CT, any clinically impactful CT findings.

Secondary Outcome: Percentage of benefits CT provides in clinical features, clinical outcomes, injury severity score, GCS, age, sex, ethnicity, cause of injury, mechanism of injury, hospital length of stay, operative vs. non-operative, discharge disposition, radilogy, pathology results and images, any additional morbidities, total cost, 30-day readmission rate, and morality. And when operation does occur, the types of operation and the resulting cost and length of stay.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 18-years-old
  • No localizing neurologic defect
  • Any cause or mechanism of injury
  • Comprehensive CT obtained

Exclusion criteria

  • Any patients that are pregnant or breastfeeding

Treatment and study plan

Pan-Computer Tomography

Procedure

trauma centers use the pan-computed tomography (CT) scan (head, neck, chest, and abdomen/pelvis) for the evaluation of blunt trauma.

Primary outcomes

  1. Percentage of trauma patients with no known neurologic deficits who underwent a CT

    Time frame: April 2006 - April 2016

    the benefit of pan-CT with no neurologic deficits

Secondary outcomes

  1. Percentage of benefits CT provides in clinical features

    Time frame: April 2006 - April 2016

    Clinical outcomes, injury severity score, GCS, age, sex, ethnicity, cause of injury, mechanism of injury, hospital length of stay, operative vs non-operative

Sponsors and collaborators

Lead sponsor

Methodist Health System

Other

Registry information

Official study title

Does Comprehensive CT Change Management in Trauma Patients With no Neurologic Deficits

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Dec 1, 2021
Registry last updated
Jun 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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