Scanning the Aged to Minimize Missed Injury: EAST Multicenter Prospective Observational Study

Objective

Currently, there are no standardized imaging protocols recommended for geriatric trauma patients regarding who should receive computed tomography (CT) imaging. This creates significant variation and can lead to slower diagnoses, missed injuries, inefficient management, and increased costs from imaging overutilization. The main objective of this study is to utilize multi-institutional retrospective and prospective observational data to derive a simple and sensitive decision rule for the identification of clinically significant injury in blunt trauma geriatric patients. The study will establish specific criteria to identify patient subgroups that would benefit from targeted CT imaging, and determine if whole-body CT is superior to targeted imaging for clinical outcomes such as delayed injury diagnosis, length of hospital stay, and death. The study investigators hypothesize that patients who meet certain clinical criteria may safely undergo no imaging or targeted imaging without increasing the risk of missed injury.  

The Lead Principal Investigator is Dr. Vanessa Ho, MetroHealth Medical Center, Cleveland, OH. Dr. Kristin Colling is the Site Principal Investigator.  

Principal Investigator(s)
Dr. Kristin Colling, MD

Research Study Categories

  • Adult Studies

Specialty

  • Trauma
Contact
Trauma Research Team at
or traumaresearchteam@essentiahealth.org

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