CT assessment of abdominal hemorrhage in coagulopathic patients: impact on clinical management

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ID: 112153
2014
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Abstract
Background: To assess how computed tomography (CT) affected clinical management in coagulopathic patients with suspected spontaneous abdominal hemorrhage. Methods: Fifty-four patients with coagulopathy underwent CT for possible abdominal hemorrhage. Medical records were reviewed retrospectively for pre-CT management strategy, degree of clinical suspicion for abdominal hemorrhage, CT findings, and post-CT management strategy. Results: Abdominopelvic CT demonstrated hemorrhage in 31/54 (57%) of patients; 20/54 (37%) of patients had retroperitoneal hemorrhage, 2/54 (4%) had hemoperitoneum, and 9/54 (17%) had hemorrhage confined to the thigh, groin, and/or abdominal wall. CT directly affected clinical management in 28/54 (54%) cases; 17/31 (55%) CT scans that were positive for hemorrhage had a clinical impact versus 11/23 (48%) negative CT scans. This difference was not statistically significant (p= 0.61). CT scans with a higher pretest suspicion for abdominal hemorrhage were more likely to have hemorrhage detected (p= 0.0046) but not more likely to have a clinical impact (p= 0.73). Conclusions: CT to assess for abdominal hemorrhage had a direct impact on clinical management in about one-half of coagulopathic patients. Positive and negative CT studies were equally likely to affect management.
Reference Key
nazarian2014abdominalct Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors L. N. Nazarian;A. S. Lev-Toaff;C. M. Spettell;R. J. Wechsler;L. N. Nazarian;A. S. Lev-Toaff;C. M. Spettell;R. J. Wechsler;
Journal abdominal imaging
Year 2014
DOI
doi:10.1007/s002619900489
URL
https://link.springer.com/article/10.1007/s002619900489
Keywords
hepatology gastroenterology imaging / radiology

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