BACKGROUND: Despite progress in diagnosing and managing blunt @entity130 (BCVI), controversy remains regarding the appropriate population to screen. A systematic review of published literature was conducted to summarize the overall incidence of BCVI and the various screening criteria used to detect BCVI. A meta-analysis was performed to evaluate which screening criteria may be associated with BCVI. Goals were to confirm inclusion of certain criteria in current screening protocols and possibly eliminate criteria not associated with BCVI. STUDY DESIGN: Studies published between January 1995 and April 2011 using digital subtraction angiography or CT angiography as a diagnostic modality and reporting overall BCVI incidence or prevalence of BCVI for specific screening criteria were examined. Screening criteria were analyzed using a random effects model to determine if an association with BCVI was present. RESULTS: The incidence range of BCVI was between 0.18% and 2.70% among approximately 122,176 blunt @entity130 admissions. The meta-analysis encompassed 418 BCVI and 22,568 non-BCVI @entity1 . Of the 9 screening criteria analyzed, cervical spine (odds ratio [OR] 5.45; 95% CI 2.24 to 13.27; p < 0.0001) and thoracic (OR 1.98; 95% CI 1.35 to 2.92; p = 0.001) injuries demonstrated a significant association with BCVI. CONCLUSIONS: @entity1 with cervical spine and thoracic injuries had significantly greater likelihoods of BCVI compared with @entity1 without these injuries. All @entity1 with either @entity130 be screened for BCVI. Multivariate logistic regression analysis is needed to elucidate the possible impact of the combined presence of screening criteria, but it was not possible in our study due to limitations in data presentation. Standardized reporting of BCVI data is not established and is recommended to permit future collaboration.

A systematic review and meta-analysis of diagnostic screening criteria for blunt XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury should', 'trauma', 'cerebrovascular injury']
@entity130 :: (MESH:D014947,Disease) :: ['cerebrovascular injuries']
