E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research (Original Article) 


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. http://www.ejos.org/?mno=216168 [Access: October 13, 2019]. 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 October 13, 2019]; 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

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 2.2 (2016), 58-63. Print. doi:10.5455/ijsm.abdominaltrauma



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