A Prospective Study to Assess the Accuracy of Diagnostic Focussed Abdominal Sonography For Trauma (Fast) In Blunt Abdominal Trauma Among the Patients Presenting To Govt Rajaji Hospital Madurai
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background & Objective: In view of increasing number of road traffic accidents and blunt abdominal injury and its lethal & fatal complications ,FAST is an essential and necessarycomponent of trauma management.Hence this study is undertaken. The ObjectivesOf Our Study Were To Asses The Diagnostic Acuracy Of Focussed assessment with sono graphy in detecting intra abdominal free fluid after blunt abdominal injuries.. Methods: Govt.Rajaji hospital ,Madurai, admits all the victims of Blunt Abdominal Trauma in Trauma ward. 50 consecutive patients with history of blunt abdominal trauma attendingor taken to our hospital 01/01/2016 to 31/12/2016 were included in the study. Inclusion and exclusion criteria were defined,and applied to all patients.All the 50 patients wereunderwent FAST protocol examination for evidence intra-abdominal free fluid.Patients were grouped in to 2 categories based on presence of free fluid (FAST +ve) and absence of free fluid (FAST -ve).FAST findings were compared with gold standards like laporatomy findings and in conservatively teated patients , with CT scan findings. Stastical analysis was done by Sensitivity and Specificity. Results: 50 patient with history of blunt abdominal truama were included in the study , out of which 36 wre males and 14 wre females.Most of the petients in the age group of 20-50 yrs.RTA was the most comman mechanism of trauma seen in 35 patients.30 patients presented with hypotention . FAST findings were positive in 38 patients and negative in 12 patients.34 patients were underwent laparotomy and 16 patients were treated conservatively. Specificity of FAST was 100% in comparison with laparotomy findings and 60% when compared to CT findings.The sensitivity was 84% comparison with laparotomy findings and 72% when compared to CT findings. FAST has +ve predictive value of 100% and 80% in comparison with laparotomy and CT Scan findings respectively.The negative predictive value of FAST found to be 16% and 50% in comparison with laparotomy and CT Scan findings respectively.
Authors and Affiliations
Dr. S. Maniselvi, Dr. P. Amutha
Keywords
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- EP ID EP256661
- DOI 10.9790/0853-1609071929,
- Views 96
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