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Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study
- Source :
- European radiology. 20(1)
- Publication Year :
- 2008
-
Abstract
- 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Abdominal Injuries
Wounds, Nonpenetrating
Risk Assessment
Sensitivity and Specificity
Blunt
Risk Factors
medicine
Focused assessment with sonography for trauma
Humans
Mass Screening
Radiology, Nuclear Medicine and imaging
Neuroradiology
Ultrasonography
medicine.diagnostic_test
Greece
business.industry
Incidence
Ultrasound
Reproducibility of Results
Interventional radiology
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Abdominal trauma
Blunt trauma
Abdomen
Feasibility Studies
Female
Radiology
business
Subjects
Details
- ISSN :
- 14321084
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- European radiology
- Accession number :
- edsair.doi.dedup.....02d96d0a55c2ffcabfd0a51d5442fa46