ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME

Adel Elbaih; Mohammad Ali; Yasmin Attia

doi:10.5455/ijsm.abdominaltrauma

Original Article

Int J Surg Med. 2016; 2(2): 58-63

ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME

Adel Elbaih, Mohammad Ali, Yasmin Attia.

Cited by (4)

Abstract
Background:Abdominal trauma is a major public health problem for all nations and all socioeconomic strata.
Methods:The study included adult patients attending emergency department in Suez Canal University Hospital, Data was collected in pre-organized data sheet by the researcher. Then, the patients were followed up and recorded till they reached one of these final outcomes Later on, the actual outcome of the patient was compared to the predictors and FAST results, then sensitivity, specificity and accuracy were calculated.
Results:Seventy five patients were eligible, of which ten patients had a FAST-positive result, and seven patients underwent a therapeutic laparotomy. In multivariate analysis,the factors correlating with a therapeutic laparotomy were pulse (>100beat/minute), respiratory rate (>29 cycle /minute), O2 saturation, abdominal gardening by examination and a FAST-positive result (sensitivity 80%, Specificity 100%, accuracy 97%, positive predictive value 100% and negative predictive value 97.3%) ,were pulse as the most sensitive predictor (99%) followed by respiratory rate (98%) while the most specific predictors were pulse (97.1%).
Conclusions:The management of trauma patients depends upon their clinical status, imaging findings, and the resources and expertise available. Rapid recognition of key abnormalities on FAST and abdominal CT can help select trauma patients for the most appropriate treatment: surgery, interventional radiology or conservative management. Physical examination alone is not sufficient to determine the need for emergent interventions.

Key words: fast abdominal trauma, abdominal injuries fast, blunt abdominal trauma index, focused assessment with sonography for trauma

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How to Cite this Article

Pubmed Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. Int J Surg Med. 2016; 2(2): 58-63. doi:10.5455/ijsm.abdominaltrauma

Web Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. https://www.ejos.org/?mno=216168 [Access: January 10, 2023]. doi:10.5455/ijsm.abdominaltrauma

AMA (American Medical Association) Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. Int J Surg Med. 2016; 2(2): 58-63. doi:10.5455/ijsm.abdominaltrauma

Vancouver/ICMJE Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. Int J Surg Med. (2016), [cited January 10, 2023]; 2(2): 58-63. doi:10.5455/ijsm.abdominaltrauma

Harvard Style

Adel Elbaih, Mohammad Ali, Yasmin Attia (2016) ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. Int J Surg Med, 2 (2), 58-63. doi:10.5455/ijsm.abdominaltrauma

Turabian Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. 2016. ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. International Journal of Surgery and Medicine, 2 (2), 58-63. doi:10.5455/ijsm.abdominaltrauma

Chicago Style

Adel Elbaih, Mohammad Ali, Yasmin Attia. "ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME." International Journal of Surgery and Medicine 2 (2016), 58-63. doi:10.5455/ijsm.abdominaltrauma

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Adel Elbaih, Mohammad Ali, Yasmin Attia (2016) ACCURACY OF PREDICTIVE FACTORS AND FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) IN MANAGEMENT OF ADULT BLUNT ABDOMINAL TRAUMA AND ITS OUTCOME. International Journal of Surgery and Medicine, 2 (2), 58-63. doi:10.5455/ijsm.abdominaltrauma



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