This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet 2016; 388: 673-683.

Published: 21st September 2016

Authors: Sierink JC, Treskes K, Edwards MJR, Beuker BJA, den Hartog D, Hohmann J et al.

Conclusion

This multicentre study included 1403 patients. The upgrade to total body CT did not reduce subsequent in hospital mortality (16 per cent in both groups), but did require an increased radiation dose.

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