Role of multispiral computed tomography in evaluating diagnostic data of patients with shock-producing trauma: open prospective cohort clinical study

OBJECTIVE. Evaluate thoroughness of diagnostic methods of identifying damage in patients with severe traumatic shock and determine the time of their admission to the operating room since the moment they have been taken to hospital.

MATERIALS AND METHODS. There was an open prospective cohort clinical study of 183 affected, taken to the budgetary health care institution of the Omsk region since 2016 to 2022 and divided into three groups, depending on the severity of traumatic shock. Each group was split into two subgroups based on the method of identifying damage. In all the affected of subgroups 1 damage was recognized, using a combination of abdominal ultrasound examination and polypositional X-ray of body segments. Current damage of all the affected of subgroup 2 was diagnosed by multispiral computed tomography (MSCT). Thoroughness of applied diagnostic methods of identifying damage was checked by sensitivity, specificity, method value, positive predictive value as well as negative results.

RESULTS. The findings show that MSCT is the key diagnostic method of identifying damage in patients with traumatic shock of different. This method of diagnosing damage in patients with traumatic shock of different severity seems not only to be highly sensitive, but also to have low incidence of false positives with a significant predictive value of positive and a low one of negative results regarding an alternative way of recognition.

DISCUSSION. MSCT plays a crucial role in expediting the decision-making process on strategies and tactics of surgical treatment in patients with traumatic shock. It reduces the risk of developing multiple organ failure and deaths due to rapid and accurate diagnosis of internal injuries. The technical characteristics of this research method allow to obtain detailed images of organs and systems in a short time, which greatly increases the chance of successful treatment. This diagnostic method is especially valuable for its ability to estimate the amount of blood loss non-invasively and informatively and to accurately localize damage, which is critical for determining an optimal strategy for surgical intervention and intensive therapy.

CONCLUSIONS. The use of MSCT method for the diagnosis of identifying damage in patients with severe traumatic shock is crucial and justified due to its high informative relevance for a logical implementation of strategies and tactics of surgical treatment. The use of MSCT method in patients with severe traumatic shock contributes to a significantly more rapid start of patients’ treatment in comparison with the diagnostic method of identifying damage, based on data X-ray and ultrasound scan.

marine medicine, sock, trauma, computed tomography, ultrasound scan

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