Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study
Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emer...
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| Veröffentlicht in: | European radiology 2010, Vol.20 (1), p.234-238 |
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| creator | Kornezos, Ioannis Chatziioannou, Achilles Kokkonouzis, Ioannis Nebotakis, Panagiotis Moschouris, Hippocrates Yiarmenitis, Spiridon Mourikis, Dimitrios Matsaidonis, Dimitrios |
| description | Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged. |
| doi_str_mv | 10.1007/s00330-009-1516-1 |
| format | Article |
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We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-009-1516-1</identifier><identifier>PMID: 19662419</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Abdomen ; Abdominal Injuries - diagnostic imaging ; Abdominal Injuries - epidemiology ; Adult ; Assaults ; Bladder ; Catheters ; Diagnostic Radiology ; Emergency medical care ; Feasibility Studies ; Female ; Greece - epidemiology ; Hospitals ; Humans ; Imaging ; Incidence ; Internal Medicine ; Interventional Radiology ; Kidneys ; Laparotomy ; Liver ; Male ; Mass Screening - statistics & numerical data ; Medicine ; Medicine & Public Health ; Neuroradiology ; Pancreas ; Patients ; Radiology ; Reproducibility of Results ; Risk Assessment - methods ; Risk Factors ; Sensitivity and Specificity ; Spleen ; Trauma ; Ultrasonic imaging ; Ultrasonography - statistics & numerical data ; Ultrasound ; Wounds, Nonpenetrating - diagnostic imaging ; Wounds, Nonpenetrating - epidemiology</subject><ispartof>European radiology, 2010, Vol.20 (1), p.234-238</ispartof><rights>European Society of Radiology 2009</rights><rights>European Society of Radiology 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-b5b1ee5160a10acadb3edcf5077c400f08112c39d551544ee34e6c8a001e091e3</citedby><cites>FETCH-LOGICAL-c402t-b5b1ee5160a10acadb3edcf5077c400f08112c39d551544ee34e6c8a001e091e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-009-1516-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-009-1516-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19662419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kornezos, Ioannis</creatorcontrib><creatorcontrib>Chatziioannou, Achilles</creatorcontrib><creatorcontrib>Kokkonouzis, Ioannis</creatorcontrib><creatorcontrib>Nebotakis, Panagiotis</creatorcontrib><creatorcontrib>Moschouris, Hippocrates</creatorcontrib><creatorcontrib>Yiarmenitis, Spiridon</creatorcontrib><creatorcontrib>Mourikis, Dimitrios</creatorcontrib><creatorcontrib>Matsaidonis, Dimitrios</creatorcontrib><title>Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged.</description><subject>Abdomen</subject><subject>Abdominal Injuries - diagnostic imaging</subject><subject>Abdominal Injuries - epidemiology</subject><subject>Adult</subject><subject>Assaults</subject><subject>Bladder</subject><subject>Catheters</subject><subject>Diagnostic Radiology</subject><subject>Emergency medical care</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Greece - epidemiology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Imaging</subject><subject>Incidence</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Kidneys</subject><subject>Laparotomy</subject><subject>Liver</subject><subject>Male</subject><subject>Mass Screening - 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diagnostic imaging</topic><topic>Abdominal Injuries - epidemiology</topic><topic>Adult</topic><topic>Assaults</topic><topic>Bladder</topic><topic>Catheters</topic><topic>Diagnostic Radiology</topic><topic>Emergency medical care</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Greece - epidemiology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Imaging</topic><topic>Incidence</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Kidneys</topic><topic>Laparotomy</topic><topic>Liver</topic><topic>Male</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Pancreas</topic><topic>Patients</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Sensitivity and Specificity</topic><topic>Spleen</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - 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Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kornezos, Ioannis</au><au>Chatziioannou, Achilles</au><au>Kokkonouzis, Ioannis</au><au>Nebotakis, Panagiotis</au><au>Moschouris, Hippocrates</au><au>Yiarmenitis, Spiridon</au><au>Mourikis, Dimitrios</au><au>Matsaidonis, Dimitrios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2010</date><risdate>2010</risdate><volume>20</volume><issue>1</issue><spage>234</spage><epage>238</epage><pages>234-238</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19662419</pmid><doi>10.1007/s00330-009-1516-1</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdomen Abdominal Injuries - diagnostic imaging Abdominal Injuries - epidemiology Adult Assaults Bladder Catheters Diagnostic Radiology Emergency medical care Feasibility Studies Female Greece - epidemiology Hospitals Humans Imaging Incidence Internal Medicine Interventional Radiology Kidneys Laparotomy Liver Male Mass Screening - statistics & numerical data Medicine Medicine & Public Health Neuroradiology Pancreas Patients Radiology Reproducibility of Results Risk Assessment - methods Risk Factors Sensitivity and Specificity Spleen Trauma Ultrasonic imaging Ultrasonography - statistics & numerical data Ultrasound Wounds, Nonpenetrating - diagnostic imaging Wounds, Nonpenetrating - epidemiology |
| title | Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study |
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