Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jun 13;21(4):e21122.
doi: 10.5812/traumamon.21122. eCollection 2016 Sep.

Diagnostic Accuracy of Focused Assessment With Sonography for Trauma in the Emergency Department

Ali Reza Ala  1 , Mahboub Pouraghaei  1 , Samad Shams Vahdati  1 , Ali Taghizadieh  1 , Payman Moharamzadeh  1 , Houri Arjmandi  1
Affiliations

Diagnostic Accuracy of Focused Assessment With Sonography for Trauma in the Emergency Department

Ali Reza Ala et al. Trauma Mon. .

Abstract

Background: Trauma is currently the fourth leading cause of death in developed countries. One of the main objectives in abdominal trauma patients is to develop a rapid and accurate diagnosis. There is a tendency to use emergency abdominal ultrasound with abdominal trauma, therefore, it is recommended in some centers as a diagnostic tool and as a primary choice in abdominal trauma.

Objectives: The aim of this study was to determine the diagnostic accuracy of sonography for trauma by emergency medicine residents and radiology residents.

Patients and methods: This was a descriptive and analytical study performed on patients with abdominal blunt trauma who referred to the emergency ward. The diagnostic accuracy of sonography for trauma by emergency medicine residents and radiology residents was evaluated.

Results: Of the 380 patients, 296 were males and 84 were females. The mean ages of male and female patients were 34.52 ± 16.38 years and 41.19 ± 21.38 years, respectively (P = 0.009). The sonographies performed by emergency residents were positive in 46 patients, with 22 of these confirmed by CT scans. The sensitivity and specificity of the sonography by emergency residents, as confirmed by CT scans, were 78.5% and 93.2%, respectively. The sonographies performed by radiology residents were positive in 38 patients, with 24 being confirmed by CT scans.

Conclusions: The sensitivity and specificity of the sonography by radiology residents, as confirmed by CT scans, were 85.7% and 96%, respectively. Sonographies performed by emergency residents were positive in 46 patients with 34 of these being confirmed by sonographies by radiology residents. The sensitivity and specificity of the sonographies by emergency residents, as confirmed by sonographies by radiology residents, were 89.5% and 96.5%, respectively.

Keywords: Abdominal CT scan; Abdominal Trauma; Radiology Resident; Sonography, Emergency Medicine Resident.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Holmes JF, Gladman A, Chang CH. Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis. J Pediatr Surg. 2007;42(9):1588–94. doi: 10.1016/j.jpedsurg.2007.04.023. - DOI - PubMed
    1. Natarajan B, Gupta PK, Cemaj S, Sorensen M, Hatzoudis GI, Forse RA. FAST scan: is it worth doing in hemodynamically stable blunt trauma patients? Surgery. 2010;148(4):695–700. doi: 10.1016/j.surg.2010.07.032. discussion 700-1. - DOI - PubMed
    1. Nural MS, Yardan T, Guven H, Baydin A, Bayrak IK, Kati C. Diagnostic value of ultrasonography in the evaluation of blunt abdominal trauma. Diagn Interv Radiol. 2005;11(1):41–4. - PubMed
    1. Soundappan SV, Holland AJ, Cass DT, Lam A. Diagnostic accuracy of surgeon-performed focused abdominal sonography (FAST) in blunt paediatric trauma. Injury. 2005;36(8):970–5. doi: 10.1016/j.injury.2005.02.026. - DOI - PubMed
    1. Soyuncu S, Cete Y, Bozan H, Kartal M, Akyol AJ. Accuracy of physical and ultrasonographic examinations by emergency physicians for the early diagnosis of intraabdominal haemorrhage in blunt abdominal trauma. Injury. 2007;38(5):564–9. doi: 10.1016/j.injury.2007.01.010. - DOI - PubMed

LinkOut - more resources