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Paper Information

Journal:   KOWSAR MEDICAL JOURNAL   FALL 2010 , Volume 15 , Number 3; Page(s) 163 To 166.
 
Paper: 

ACCURACY OF SURGEON PERFORMED SONOGRAPHY IN BLUNT ABDOMINAL TRAUMA

 
 
Author(s):  KHOUSH MOHABAT H., PANAHI FARZAD*, MEHRVARZ SH., MOHEBI HASAN ALI, BAGHERPOUR JAHROMI A.
 
* TRAUMA RESEARCH CENTER, CLINICAL INSTITUTE, BAQIYATALLAH UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Aims: Focused Assessment with Sonography for Trauma (FAST) is used as a screening tool to detect hemoperitoneum in patients with blunt abdominal injuries in many trauma centers all over the world. However, Iranian trauma centers are unaccustomed to performing it as a routine. The aim of this study was to evaluate the sensitivity and specificity of FAST performed by surgeons and to announce its advantages to Iranian surgeons Materials & Methods: Data were collected prospectively in one hundred blunt abdominal trauma patients admitted to Baqyiatallah Hospital from April 2008- April 2009. FAST was used by surgeons or senior surgical residents to detect intra peritoneal fluid and considered positive if such fluid was identified. Data were analyzed using SPSS14.
Results: 5 of the 100 patients had proven intra abdominal injuries and 95 had no injuries. FAST result was positive in 7 patients and negative in 93 patients. There were 2 false positive results. The sensitivity and specificity of FAST were 100% and 97.8%, respectively. The positive predictive value was 71.4%, the negative predictive value was 100% and the accuracy was 98%.
Conclusion: Focused Assessment with Sonography for Trauma which is performed by general surgeons, can detect the presence or absence of intra peritoneal fluid rapidly and accurately. FAST is a potentially valuable tool for better management of trauma patients.

 
Keyword(s): BLUNT ABDOMINAL TRAUMA, FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST), SENSITIVITY, SPECIFICITY
 
References: 
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