Τίτλος:
Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: A Greek study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged. © 2009 European Society of Radiology.
Συγγραφείς:
Kornezos, I.
Chatziioannou, A.
Kokkonouzis, I.
Nebotakis, P.
Moschouris, H.
Yiarmenitis, S.
Mourikis, D.
Matsaidonis, D.
Περιοδικό:
European Radiology Experimental
Λέξεις-κλειδιά:
abdominal blunt trauma; adult; article; assault; bladder rupture; clinical observation; diagnostic accuracy; disease course; echography; emergency ward; falling; false positive result; female; Greece; hospital admission; hospital discharge; human; kidney rupture; laparotomy; liver hematoma; liver rupture; major clinical study; male; medical assessment; obesity; pancreas injury; peritoneal fluid; priority journal; screening test; sensitivity and specificity; spleen hematoma; spleen injury; spleen rupture; traffic accident, Abdominal Injuries; Adult; Feasibility Studies; Female; Greece; Humans; Incidence; Male; Mass Screening; Reproducibility of Results; Risk Assessment; Risk Factors; Sensitivity and Specificity; Ultrasonography; Wounds, Nonpenetrating
DOI:
10.1007/s00330-009-1516-1
