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Article: The diagnostic accuracy of focused abdominal sonography for trauma in blunt abdominal trauma patients in a local trauma center of Hong Kong

TitleThe diagnostic accuracy of focused abdominal sonography for trauma in blunt abdominal trauma patients in a local trauma center of Hong Kong
Authors
KeywordsLaparotomy
Autopsy
Tomography, X-ray computed
Tomography, spiral computed
Ultrasonography
Issue Date2012
PublisherZhonghua Changshang Zazhi Bianjibu.
Citation
Chinese Journal of Traumatology, 2012, v. 15 n. 5, p. 273-278 How to Cite?
AbstractObjective: Focused Abdominal Sono-graphy for Trauma (FAST) is widely used for the detection of intraperitoneal free fluids in patients suffering from blunt abdominal trauma (BAT). This study aimed at assessing the diagnostic accuracy of this investigation in a designated trauma centre. Methods: This was a retrospective study of BAT patients over a 6 year period seen in a trauma centre in Hong Kong. FAST findings were compared with laparotomy, abdominal computed tomography or autopsy findings, which served as the gold standard for presence of intraperitoneal free fluids. The patients who did not have FAST or gold standard confirmatory test performed, had preexisting peritoneal fluid, died at resuscitation or had imcomplete documentation of FAST findings were excluded. The performance of FAST was expressed as sensitivity, specificity, predictive values (PV), likelihood ratios (LR) and accuracy. Results: FAST was performed in 302 patients and 153 of them were included in this analysis. The sensitivity, specificity, positive PV, negative PV, positive LR, negative LR and accuracy for FAST were respectively 50.0%, 97.3%, 87.0%, 84.6%, 18.8, 0.5 and 85.0%. FAST was found to be more sensitive in less severely injured patients and more specific in more severely injured patients. Conclusion: FAST is a reliable investigation in the initial assessment of BAT patients. The diagnostic values of FAST could be affected by the severity of injury and staff training is needed to further enhance its effective use. Key words: Laparotomy; Autopsy; Tomography, X-ray computed; Tomography, spiral computed; Ultrasonography.
Persistent Identifierhttp://hdl.handle.net/10722/186319
ISSN
2015 SCImago Journal Rankings: 0.183

 

DC FieldValueLanguage
dc.contributor.authorCheung, KSen_US
dc.contributor.authorWong, HTen_US
dc.contributor.authorLeung, LPen_US
dc.contributor.authorTsang, TCen_US
dc.contributor.authorLeung, GKKen_US
dc.date.accessioned2013-08-20T12:03:36Z-
dc.date.available2013-08-20T12:03:36Z-
dc.date.issued2012en_US
dc.identifier.citationChinese Journal of Traumatology, 2012, v. 15 n. 5, p. 273-278en_US
dc.identifier.issn1008-1275-
dc.identifier.urihttp://hdl.handle.net/10722/186319-
dc.description.abstractObjective: Focused Abdominal Sono-graphy for Trauma (FAST) is widely used for the detection of intraperitoneal free fluids in patients suffering from blunt abdominal trauma (BAT). This study aimed at assessing the diagnostic accuracy of this investigation in a designated trauma centre. Methods: This was a retrospective study of BAT patients over a 6 year period seen in a trauma centre in Hong Kong. FAST findings were compared with laparotomy, abdominal computed tomography or autopsy findings, which served as the gold standard for presence of intraperitoneal free fluids. The patients who did not have FAST or gold standard confirmatory test performed, had preexisting peritoneal fluid, died at resuscitation or had imcomplete documentation of FAST findings were excluded. The performance of FAST was expressed as sensitivity, specificity, predictive values (PV), likelihood ratios (LR) and accuracy. Results: FAST was performed in 302 patients and 153 of them were included in this analysis. The sensitivity, specificity, positive PV, negative PV, positive LR, negative LR and accuracy for FAST were respectively 50.0%, 97.3%, 87.0%, 84.6%, 18.8, 0.5 and 85.0%. FAST was found to be more sensitive in less severely injured patients and more specific in more severely injured patients. Conclusion: FAST is a reliable investigation in the initial assessment of BAT patients. The diagnostic values of FAST could be affected by the severity of injury and staff training is needed to further enhance its effective use. Key words: Laparotomy; Autopsy; Tomography, X-ray computed; Tomography, spiral computed; Ultrasonography.-
dc.languageengen_US
dc.publisherZhonghua Changshang Zazhi Bianjibu.-
dc.relation.ispartofChinese Journal of Traumatologyen_US
dc.subjectLaparotomy-
dc.subjectAutopsy-
dc.subjectTomography, X-ray computed-
dc.subjectTomography, spiral computed-
dc.subjectUltrasonography-
dc.titleThe diagnostic accuracy of focused abdominal sonography for trauma in blunt abdominal trauma patients in a local trauma center of Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hken_US
dc.identifier.authorityLeung, GKK=rp00522en_US
dc.identifier.doi10.3760/cma.j.issn.1008-1275.2012.05.003-
dc.identifier.pmid23069097-
dc.identifier.hkuros218597en_US
dc.identifier.volume15en_US
dc.identifier.issue5en_US
dc.identifier.spage273en_US
dc.identifier.epage278en_US
dc.publisher.placeChina-

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