Evaluation of Diagnostic Value of FAST in Patients with Multiple Trauma referring to a Trauma Center in Northern Iran
محل انتشار: تازه های پزشکی بالینی، دوره: 1، شماره: 3
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 120
فایل این مقاله در 8 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_NCLIN-1-3_004
تاریخ نمایه سازی: 11 دی 1401
چکیده مقاله:
Background: Abdominal injuries are among the most common causes of death in trauma patients, one-third of whom develop abdominal trauma. Focused assessment with sonography is a part of the initial examination for emergency care of patients with abdominal blunt trauma.Objectives: This study aimed to investigate trauma patients with positive FAST under laparotomy surgery in a Trauma Center.Methods: This cross-sectional study was conducted on ۱۸۰ patients with abdominal trauma admitted to Poursina Hospital, Rasht, Iran between ۲۰۱۶ and ۲۰۱۷. On admission, they were examined with FAST and divided into positive and negative. The patients underwent laparotomy/CT after physical examinations, and their results were mentioned as negative/positive.Results: Sensitivity, specificity, positive and negative predictive values of FAST compared with CT-scan in all patients were ۶۰%, ۵۲.۴%, ۲۳.۳% and ۸۴.۴%, respectively. Seventy-eight out of ۹۰ patients with positive FAST underwent laparotomy and ۱۹ patients with negative FAST underwent laparotomy. Low blood pressure, GCS, and the hospital arrival time had a significant relationship with the likelihood of false positives of FAST compared to CT scans, whereas the significant relationship was reported only in false-negative cases in age. There was a relationship between false-positive cases of the FAST compared with laparotomy in blood pressure. This relationship was significant in the case of false-negative cases in age (P<۰.۰۵).Conclusion: Implementing FAST by surgical assistants does not have high sensitivity and specificity. Therefore, it is recommended to use other diagnostic methods such as CT-scan along with FAST, besides paying attention to sufficient training of surgical assistants in performing FAST.
کلیدواژه ها:
نویسندگان
Iraj Baghi
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Arghavan Malekshahi
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Mohammadreza Mobayen
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Mohammadsadegh Mousavi
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran