CT pan-scanning versus targeted imaging among older adults after ground level falls.

ABSTRACT:

Background

Ground level falls (GLFs) among older adults are responsible for millions of injuries. Routine pan-scanning (CT imaging of the head, chest, abdomen and pelvis) is commonly employed; however, we lack robust evidence of its benefit. We investigated whether pan-scanning identifies a larger proportion of patients with significant injury or injury requiring procedural intervention and hypothesized resuscitation area findings-including radiographs, ultrasound, and external signs of injury-would detect these injuries.

Methods

We queried our institutional trauma registry data for patients ≥65 years presenting to our level 1 trauma center after GLFs. Our primary outcome was injury requiring procedural intervention. LASSO (least absolute shrinkage and selection operator) re

SUBMITTER: Touponse G 

PROVIDER: S-EPMC11907072 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature