Volume 20, Issue 64 (4-2019)
Zanko J Med Sci 2019, 20(64): 1-10 |
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Evaluation of Focused Assessment with Sonography in Trauma Diagnostic Function in Determination of Intra-Abdominal Free Fluid due to Blunt Trauma in Patients Referring to Shahid Beheshti Hospital in Qom, during 2014-2017. Zanko J Med Sci 2019; 20 (64) :1-10
URL: http://zanko.muk.ac.ir/article-1-409-en.html
URL: http://zanko.muk.ac.ir/article-1-409-en.html
Abstract: (10858 Views)
Background and Aim: Purposeful evaluation of patients using focused assessment with sonography in trauma (FAST) is a part of early examination in emergency care. The aim of this study was to investigate the diagnostic power of FAST in diagnosis of intra-abdominal visceral trauma due to blunt trauma in patients referring to emergency department of Shahid Beheshti hospital in Qom.
Material and Method: This retrospective descriptive cross-sectional study was performed on 100 patients referring to the Emergency Department of Shahid Beheshti Hospital in Qom during 2014-2017 who were admitted with impression of abdominal blunt trauma. The findings of FAST were compared with laparotomy findings. The sensitivity, specificity, and value of positive and negative predictive value and accuracy of FAST were compared with the results of laparotomy by SPSS 20 software.
Results: Out of the 100 patients, 79 were men and 21 were women. Mean age of the patients was 34.65±17.51 years. Most of the damage was due to accident (74 cases), fall (16 cases), and impact (10 cases), respectively. Sensitivity, specificity, accuracy, positive, and negative predictive value were 82.1%, 90.2%, 86%, 92%, and 80%, respectively.
Conclusion: Ultrasonography is a reliable means for examining patients with trauma. Due to the permanent presence of emergency medicine specialists, early diagnosis of traumatic patients plays an important role in the patients’ bedside.
Material and Method: This retrospective descriptive cross-sectional study was performed on 100 patients referring to the Emergency Department of Shahid Beheshti Hospital in Qom during 2014-2017 who were admitted with impression of abdominal blunt trauma. The findings of FAST were compared with laparotomy findings. The sensitivity, specificity, and value of positive and negative predictive value and accuracy of FAST were compared with the results of laparotomy by SPSS 20 software.
Results: Out of the 100 patients, 79 were men and 21 were women. Mean age of the patients was 34.65±17.51 years. Most of the damage was due to accident (74 cases), fall (16 cases), and impact (10 cases), respectively. Sensitivity, specificity, accuracy, positive, and negative predictive value were 82.1%, 90.2%, 86%, 92%, and 80%, respectively.
Conclusion: Ultrasonography is a reliable means for examining patients with trauma. Due to the permanent presence of emergency medicine specialists, early diagnosis of traumatic patients plays an important role in the patients’ bedside.
Type of Study: Research |
Subject:
Special
Received: 2018/06/4 | Accepted: 2018/07/23 | ePublished: 2019/04/15
Received: 2018/06/4 | Accepted: 2018/07/23 | ePublished: 2019/04/15
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