Evaluation of Diagnostic Value of Fast in Patients with Multiple Trauma Referring to a Trauma Center in Northern Iran

Iraj Baghi1 , Ramin Ebrahimian1 , Enayatollah Homaie Rad2 , Amir Pirooz1 , Mohammad Sadegh Mousavi1 , Tahereh Sattarzadeh1 and Mohammadreza Mobayen1*

1 Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Iran 2 Social Determinants of Health Research Center, Guilan University of Medical Sciences, Iran

^*Correspondance to: Mohammadreza Mobayen 

 PDF  Full Text DOI: 10.25107/2474-1647.3077

Abstract

Background: Abdominal injuries are among the most common causes of death in trauma patients, one-third of who develop abdominal trauma. Aim: Focused assessment with sonography is a part of the initial examination for emergency care of patients with abdominal blunt trauma. Methods: This cross-sectional study was conducted on 180 patients with abdominal trauma admitted to Poursina Hospital, Rasht between 2016 and 2017. On admission, they were examined with FAST and divided into positive and negative. The patients underwent laparotomy/CT after physical examinations, and their results were mentioned as negative/positive. Results: Sensitivity, specificity, positive and negative predictive values of FAST compared with CTscan in all samples were 60%, 52.4%, 23.3% and 84.4%, respectively. Seventy-eight of 90 patients with positive FAST underwent laparotomy and 18 ones with negative FAST underwent laparotomy. Low blood pressure, GCS, and the hospital arrival time had significant relationship with the likelihood of false-positives of FAST tests compared to CT scans, whereas the significant relationship existed only in false-negative cases in age. There was a relationship between false-positive cases of Fast test compared with laparotomy in blood pressure. This relationship was significant in the case of falsenegative cases in age (P

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Cite the article

Baghi I, Ebrahimian R, Rad EH, Pirooz A, Mousavi MS, Sattarzadeh T, et al. Evaluation of Diagnostic Value of Fast in Patients with Multiple Trauma Referring to a Trauma Center in Northern Iran. Clin Surg. 2021; 6: 3077.