Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results
Objective: In our study, we aimed to investigate the accuracy of Focused Assessment Sonography for Trauma (FAST) findings of multitrauma patients in comparison with abdominal CT results. Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service,...
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Veröffentlicht in: | Eurasian journal of emergency medicine 2014-09, Vol.13 (3), p.104 |
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creator | Demir, Yasin Akay, Serhat Yolcu, Sadiye Miran, Ali Savas Durak, Tugba Cicek Parlak, Ismet |
description | Objective: In our study, we aimed to investigate the accuracy of Focused Assessment Sonography for Trauma (FAST) findings of multitrauma patients in comparison with abdominal CT results. Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service, abdominal USG results, abdominal CT results, results of other CT scans, hospitalization data, and hemoglobin (Hb) and white blood cell count (WBC) values of the patients were recorded. Results: One hundred eighty (79.6%) males and 46 (20.4%) females (total 226 patients) were included to our study. Mean age was 38.74 [+ or -] 17.18; 203 (89.8%) patients were traffic accidents, and 23 (10.2%) patients were falls from heights. The sensitivity of FAST was 50% and specificity was 93.7%. The positive predictive value (PPV) was 60 and negative predictive value was 90.8%. Conclusion: Multiple trauma patients with positive USG findings according to their hemodynamic situations and multitrauma patients with suspicious USG findings should undergo abdominal CT scan in the emergency service. (JAEM 2014; 13:104-7) Key words: Emergency service, multitrauma, FAST |
doi_str_mv | 10.5152/jaem.2014.70037 |
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Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service, abdominal USG results, abdominal CT results, results of other CT scans, hospitalization data, and hemoglobin (Hb) and white blood cell count (WBC) values of the patients were recorded. Results: One hundred eighty (79.6%) males and 46 (20.4%) females (total 226 patients) were included to our study. Mean age was 38.74 [+ or -] 17.18; 203 (89.8%) patients were traffic accidents, and 23 (10.2%) patients were falls from heights. The sensitivity of FAST was 50% and specificity was 93.7%. The positive predictive value (PPV) was 60 and negative predictive value was 90.8%. Conclusion: Multiple trauma patients with positive USG findings according to their hemodynamic situations and multitrauma patients with suspicious USG findings should undergo abdominal CT scan in the emergency service. (JAEM 2014; 13:104-7) Key words: Emergency service, multitrauma, FAST</description><identifier>ISSN: 1305-760X</identifier><identifier>ISSN: 2149-5807</identifier><identifier>EISSN: 1309-8845</identifier><identifier>EISSN: 2149-6048</identifier><identifier>DOI: 10.5152/jaem.2014.70037</identifier><language>eng</language><publisher>Ankara: AVES</publisher><subject>Accidents ; Accuracy ; Diagnostic imaging ; Emergency services ; Hemoglobins ; Studies ; Tomography ; Trauma ; Ultrasonic imaging ; Ultrasound imaging ; White blood cell count</subject><ispartof>Eurasian journal of emergency medicine, 2014-09, Vol.13 (3), p.104</ispartof><rights>COPYRIGHT 2014 AVES</rights><rights>Copyright Aves Yayincilik Ltd. STI. Sep 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c266t-240fbac55b815f1b1f9889c844490a466b3279d9cf4d8e3c524bdee0935eca073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids></links><search><creatorcontrib>Demir, Yasin</creatorcontrib><creatorcontrib>Akay, Serhat</creatorcontrib><creatorcontrib>Yolcu, Sadiye</creatorcontrib><creatorcontrib>Miran, Ali Savas</creatorcontrib><creatorcontrib>Durak, Tugba Cicek</creatorcontrib><creatorcontrib>Parlak, Ismet</creatorcontrib><title>Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results</title><title>Eurasian journal of emergency medicine</title><description>Objective: In our study, we aimed to investigate the accuracy of Focused Assessment Sonography for Trauma (FAST) findings of multitrauma patients in comparison with abdominal CT results. Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service, abdominal USG results, abdominal CT results, results of other CT scans, hospitalization data, and hemoglobin (Hb) and white blood cell count (WBC) values of the patients were recorded. Results: One hundred eighty (79.6%) males and 46 (20.4%) females (total 226 patients) were included to our study. Mean age was 38.74 [+ or -] 17.18; 203 (89.8%) patients were traffic accidents, and 23 (10.2%) patients were falls from heights. The sensitivity of FAST was 50% and specificity was 93.7%. The positive predictive value (PPV) was 60 and negative predictive value was 90.8%. Conclusion: Multiple trauma patients with positive USG findings according to their hemodynamic situations and multitrauma patients with suspicious USG findings should undergo abdominal CT scan in the emergency service. (JAEM 2014; 13:104-7) Key words: Emergency service, multitrauma, FAST</description><subject>Accidents</subject><subject>Accuracy</subject><subject>Diagnostic imaging</subject><subject>Emergency services</subject><subject>Hemoglobins</subject><subject>Studies</subject><subject>Tomography</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound imaging</subject><subject>White blood cell count</subject><issn>1305-760X</issn><issn>2149-5807</issn><issn>1309-8845</issn><issn>2149-6048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptUcFKAzEQXURBqZ69BjxvTXaTbHJcitVCRdEK3kI2m9SUblKTXaV_b9YKIjhzmMfw3mOGl2WXCE4JIsX1RupuWkCEpxWEZXWUnaES8pwxTI6_MckrCl9Ps4sYNzAV5qzC6CzbLNyHjr1dy956B7wBtVJDkGo_4nn9vAJz61rr1nFc3A_b3vZBDp0Ej0miXR-BdWDmu50MNiaLT9u_gbppfWed3ILZCjzpmGTxPDsxchv1xc-cZC_zm9XsLl8-3C5m9TJXBaV9XmBoGqkIaRgiBjXIcMa4YhhjDiWmtCmLirdcGdwyXSpS4KbVGvKSaCVhVU6yq4PvLvj3IT0nNn4I6ZYoEMUMUsoJ_2Wt5VYL64xPb6nORiVqTBnCiLEysab_sFK3urPKO21s2v8RXB8EKvgYgzZiF2wnw14gKMaoxBiVGKMS31GVXwWphdc</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Demir, Yasin</creator><creator>Akay, Serhat</creator><creator>Yolcu, Sadiye</creator><creator>Miran, Ali Savas</creator><creator>Durak, Tugba Cicek</creator><creator>Parlak, Ismet</creator><general>AVES</general><general>Galenos Publishing House</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope></search><sort><creationdate>20140901</creationdate><title>Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results</title><author>Demir, Yasin ; Akay, Serhat ; Yolcu, Sadiye ; Miran, Ali Savas ; Durak, Tugba Cicek ; Parlak, Ismet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c266t-240fbac55b815f1b1f9889c844490a466b3279d9cf4d8e3c524bdee0935eca073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Accidents</topic><topic>Accuracy</topic><topic>Diagnostic imaging</topic><topic>Emergency services</topic><topic>Hemoglobins</topic><topic>Studies</topic><topic>Tomography</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound imaging</topic><topic>White blood cell count</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demir, Yasin</creatorcontrib><creatorcontrib>Akay, Serhat</creatorcontrib><creatorcontrib>Yolcu, Sadiye</creatorcontrib><creatorcontrib>Miran, Ali Savas</creatorcontrib><creatorcontrib>Durak, Tugba Cicek</creatorcontrib><creatorcontrib>Parlak, Ismet</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Turkey Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Eurasian journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Demir, Yasin</au><au>Akay, Serhat</au><au>Yolcu, Sadiye</au><au>Miran, Ali Savas</au><au>Durak, Tugba Cicek</au><au>Parlak, Ismet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results</atitle><jtitle>Eurasian journal of emergency medicine</jtitle><date>2014-09-01</date><risdate>2014</risdate><volume>13</volume><issue>3</issue><spage>104</spage><pages>104-</pages><issn>1305-760X</issn><issn>2149-5807</issn><eissn>1309-8845</eissn><eissn>2149-6048</eissn><abstract>Objective: In our study, we aimed to investigate the accuracy of Focused Assessment Sonography for Trauma (FAST) findings of multitrauma patients in comparison with abdominal CT results. Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service, abdominal USG results, abdominal CT results, results of other CT scans, hospitalization data, and hemoglobin (Hb) and white blood cell count (WBC) values of the patients were recorded. Results: One hundred eighty (79.6%) males and 46 (20.4%) females (total 226 patients) were included to our study. Mean age was 38.74 [+ or -] 17.18; 203 (89.8%) patients were traffic accidents, and 23 (10.2%) patients were falls from heights. The sensitivity of FAST was 50% and specificity was 93.7%. The positive predictive value (PPV) was 60 and negative predictive value was 90.8%. Conclusion: Multiple trauma patients with positive USG findings according to their hemodynamic situations and multitrauma patients with suspicious USG findings should undergo abdominal CT scan in the emergency service. 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subjects | Accidents Accuracy Diagnostic imaging Emergency services Hemoglobins Studies Tomography Trauma Ultrasonic imaging Ultrasound imaging White blood cell count |
title | Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results |
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