For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
7
views
36
references
 Top references
cited by
1
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      118
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Blunt abdominal trauma (BAT) is the most common pattern of abdominal traumas. It may be associated with intra-abdominal injuries (IAIs). Exploratory laparotomies are only needed in a minority of patients after BAT.

          Methodology

          All BAT patients who presented to the El Demerdash Hospital of Ain Shams University, Cairo, Egypt during the study period were traced. Parameters including demographic data, focused assessment with sonography for trauma (FAST) scan, CT scan results, and hematuria were collected. The cohort was divided according to the CT scan results into two groups: patients with IAIs and patients without IAIs.

          Results

          Males represented 78.2% of the patients, and the mean age of the recruited patients was 32.1 ± 18 years. Road traffic accidents represented the main cause of trauma (58%) . Patients with IAIs detected by CT scan represented 1.62%, and hematuria was detected in 88.9% of them. The specificity of FAST was 97.1%, and that of hematuria was 84.1%, and for the combination of both tests, the specificity was 99.3%.

          Conclusion

          IAIs after BAT can usually be excluded if both FAST and hematuria are negative, provided that the patient is stable.

          Related collections

          Most cited references36

          • Record: found
          • Abstract: found
          • Article: not found

          Deaths: final data for 2004.

          Melonie Heron, Arialdi M Miniño, Andrea Murphy … (2007)
          This report presents final 2004 data on U.S. deaths; death rates; life expectancy; infant and maternal mortality; and trends by selected characteristics such as age, sex, Hispanic origin, race, marital status, educational attainment, injury at work, state of residence, and cause of death. Previous reports presented preliminary mortality data for 2004 and summarized key findings in the final data for 2004. This report presents descriptive tabulations of information reported on death certificates, which are completed by funeral directors, attending physicians, medical examiners, and coroners. The original records are filed in the state registration offices. Statistical information is compiled into a national database through the Vital Statistics Cooperative Program of the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). Causes of death are processed in accordance with the International Classification of Diseases, Tenth Revision (ICD-10). In 2004, a total of 2,397,615 deaths were reported in the United States. The age-adjusted death rate was 800.8 deaths per 100,000 standard population, representing a decrease of 3.8 percent from the 2003 rate and a record low historical figure. Life expectancy at birth rose by 0.4 year to a record high of 77.8 years. Age-specific death rates decreased for all age groups. (The decrease for children aged 5-14 years was not statistically significant.) The 15 leading causes of death in 2004 remained the same as in 2003. Heart disease and cancer continued to be the leading and second leading causes of death, together accounting for over one-half of all deaths. In 2004, Alzheimer's disease surpassed and swapped positions with Influenza, relative to their previous placements in 2003. The infant mortality rate in 2004 was 6.79 per 1000 births. Generally, mortality patterns in 2004 were consistent with long-term trends. Life expectancy in 2004 increased again to a new record level. The age-adjusted death rate declined to a record low historical figure. Although not statistically significant, the decrease in the infant mortality rate is typical of recent trends; except for 2002, the infant mortality rate has either decreased or remained level each successive year from 1958 to 2004.
          Article 0 comments Cited 39 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study

            D. Dammers, M. El Moumni, I.I. Hoogland … (2017)
            Background Focussed Assessment with Sonography for Trauma (FAST) is a bedside ultrasonography technique used to detect free intraperitoneal fluid in patients presenting with blunt abdominal trauma (BAT) in the emergency department. Methods In this retrospective cohort study we investigated the potential of FAST as a risk stratification instrument in haemodynamically (HD) stable patients presenting after BAT by establishing the association between the FAST exam result and final outcome. An adverse outcome was defined in this context as the need for either a laparoscopy/laparotomy or an angiographic embolization or death due to abdominal injuries). Results A total of 421 patients with BAT were included, of which nine had an adverse outcome (2%). FAST was negative in 407 patients. Six of them turned out to have free intraperitoneal fluid (sensitivity 67 [41–86]%). FAST was positive in 14 patients, 12 of whom had free intraperitoneal fluid (specificity 99 [98–100]%). A positive FAST (positive likelihood ratio 34.3 [15.1–78.5]) was stronger associated with an adverse outcome than Injury Severity Score (ISS) or any individual clinical- or biochemical variables measured at presentation in the ED. Discussion The FAST exam can provide valuable prognostic information at minimal expenses during the early stages of resuscitation in haemodynamically stable patients presenting with BAT. Conclusions FAST exam should not be omitted in patients with BAT. Electronic supplementary material The online version of this article (doi:10.1186/s13049-016-0342-0) contains supplementary material, which is available to authorized users.
            Article 0 comments Cited 37 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis

              Suresh Arumugam, Ammar Al-Hassani, Ayman El Menyar … (2015)
              Background: The incidence of abdominal trauma is still underreported from the Arab Middle-East. We aimed to evaluate the incidence, causes, clinical presentation, and outcome of the abdominal trauma patients in a newly established trauma center. Materials and Methods: A retrospective analysis was conducted at the only level I trauma center in Qatar for the patients admitted with abdominal trauma (2008-2011). Patients demographics, mechanism of injury, pattern of organ injuries, associated extra-abdominal injuries, Injury Severity Score (ISS), Abbreviated Injury Scale, complications, length of Intensive Care Unit, and hospital stay, and mortality were reviewed. Results: A total of 6888 trauma patients were admitted to the hospital, of which 1036 (15%) had abdominal trauma. The mean age was 30.6 ± 13 years and the majority was males (93%). Road traffic accidents (61%) were the most frequent mechanism of injury followed by fall from height (25%) and fall of heavy object (7%). The mean ISS was 17.9 ± 10. Liver (36%), spleen (32%) and kidney (18%) were most common injured organs. The common associated extra-abdominal injuries included chest (35%), musculoskeletal (32%), and head injury (24%). Wound infection (3.8%), pneumonia (3%), and urinary tract infection (1.4%) were the frequently observed complications. The overall mortality was 8.3% and late mortality was observed in 2.3% cases mainly due to severe head injury and sepsis. The predictors of mortality were head injury, ISS, need for blood transfusion, and serum lactate. Conclusion: Abdominal trauma is a frequent diagnosis in multiple trauma and the presence of extra-abdominal injuries and sepsis has a significant impact on the outcome.
              Article 0 comments Cited 32 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic, pub): 7 February 2023
                Publication date (Electronic, collection): February 2023
                Volume: 15
                Issue: 2
                Electronic Location Identifier: e34736
                Affiliations
                [1 ] Department of General Surgery, Ain Shams University, Cairo, EGY
                [2 ] Department of Surgery, Galala University, Suez, EGY
                [3 ] Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, USA
                [4 ] Department of Emergency Medicine/Community Medicine, University of Maryland School of Medicine, Baltimore, USA
                [5 ] Department of Community Medicine, National Research Centre, Cairo, EGY
                [6 ] Department of Family and Community Medicine, Jazan University, Jazan, SAU
                [7 ] Department of Community, Environmental, and Occupational Medicine, Ain Shams University, Cairo, EGY
                Author notes
                Article
                DOI: 10.7759/cureus.34736
                PMC ID: 9997730
                PubMed ID: 36909092
                SO-VID: 167a8873-9319-4b5e-b4a1-bc972918f2ed
                Copyright © Copyright © 2023, Abd-erRazik et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date accepted : 7 February 2023
                Funding
                This research was funded throughout all its steps by the Fogarty Institute, USA.
                Categories
                Subject: General Surgery
                Subject: Trauma

                Keywords: focused assessment with sonography for trauma,blunt abdominal injury,blunt abdominal trauma,intra-abdominal injuries,hematuria,fast scan
                Data availability:
                Keywords: focused assessment with sonography for trauma, blunt abdominal injury, blunt abdominal trauma, intra-abdominal injuries, hematuria, fast scan

                Comments

                Comment on this article

                scite_

                Similar content118

                See all similar

                Cited by1

                See all cited by

                Most referenced authors398

                See all reference authors