Role of ultrasonography in blunt abdominal trauma: a prospective study

Affiliations

01 May 1996

-

doi: 8781916/


Abstract

Objective: To evaluate the role of ultrasonography in screening for blunt abdominal trauma in a general hospital.

Design: Prospective study.

Setting: University hospital, Kuwait.

Subjects: 53 patients (44 male and nine female) with suspected blunt abdominal trauma or decreased consciousness were studied in the period between March 92 and April 93.

Interventions: Real time ultrasonography of the abdomen during resuscitation.

Main outcome measures: The sensitivity and specificity of ultrasonography as an investigative tool and predictor of clinical outcome.

Results: Ultrasonography was 85% sensitive, 100% specific, and 96% accurate. The positive predictive value was 100% and the negative predictive value was 95%. The sensitivity was less in the hands of the surgeon than the radiologist (67% compared with 90%).

Conclusion: Ultrasonography is an accurate, safe method for screening patients with blunt abdominal trauma even in general hospitals.


Similar articles

Emergency department ultrasonography in the evaluation of hypotensive and normotensive children with blunt abdominal trauma.

Holmes JF, Brant WE, Bond WF, Sokolove PE, Kuppermann N.J Pediatr Surg. 2001 Jul;36(7):968-73. doi: 10.1053/jpsu.2001.24719.PMID: 11431759

Sonography as the primary screening method in evaluating blunt abdominal trauma.

Bakker J, Genders R, Mali W, Leenen L.J Clin Ultrasound. 2005 May;33(4):155-63. doi: 10.1002/jcu.20112.PMID: 15856519

Diagnostic accuracy of surgeon-performed focused abdominal sonography (FAST) in blunt paediatric trauma.

Soundappan SV, Holland AJ, Cass DT, Lam A.Injury. 2005 Aug;36(8):970-5. doi: 10.1016/j.injury.2005.02.026.PMID: 15982655

[Sonography of blunt abdominal trauma within the scope of pediatric polytrauma].

Meenen NM, Dallek M, Tesch C, Wening JV, Lambrecht W, Jungbluth KH.Chirurg. 1993 Nov;64(11):849-51.PMID: 8281819 Review. German. No abstract available.

[Technology assessment of ultrasound in acute diagnosis of blunt abdominal trauma].

Raum MR, Bouillon B, Eypasch E, Tiling T.Langenbecks Arch Chir Suppl Kongressbd. 1997;114:461-4.PMID: 9574182 Review. German.


Cited by

A National Survey of Prehospital Care Services of United Kingdom for Use, Governance and Perception of Prehospital Point of Care Ultrasound.

Naeem S, Edmunds C, Hirst T, Williams J, Alzarrad A, Ronaldson J, Barrat J, East Anglian Air Ambulance Research Audit Innovation And Development Raid Group, PreHospital Trainee Operated Research Network Photon.POCUS J. 2022 Nov 21;7(2):232-238. doi: 10.24908/pocus.v7i2.15739. eCollection 2022.PMID: 36896376 Free PMC article.

Point-of-care ultrasound (POCUS) practices in the helicopter emergency medical services in Europe: results of an online survey.

Hilbert-Carius P, Struck MF, Rudolph M, Knapp J, Rognås L, Adler J, Slagt C, Jacobsen L, Pich H, Christian MD, Dandrifosse D, Abu-Zidan FM; POCUS in HEMS collaborators.Scand J Trauma Resusc Emerg Med. 2021 Aug 26;29(1):124. doi: 10.1186/s13049-021-00933-y.PMID: 34446076 Free PMC article.

Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology: state of the art from basics to advanced.

Abu-Zidan FM, Cevik AA.World J Emerg Surg. 2018 Oct 15;13:47. doi: 10.1186/s13017-018-0209-y. eCollection 2018.PMID: 30356808 Free PMC article. Review.

A diagnostic negative ultrasound finding in blunt abdominal trauma.

Abu-Zidan FM, Shalak HS, Alhaddad MA.Turk J Emerg Med. 2018 Jun 25;18(3):125-127. doi: 10.1016/j.tjem.2018.06.003. eCollection 2018 Sep.PMID: 30191194 Free PMC article.

Assessment of EFAST training for final year medical students in emergency medicine clerkship.

Cevik AA, Noureldin A, El Zubeir M, Abu-Zidan FM.Turk J Emerg Med. 2018 May 26;18(3):100-104. doi: 10.1016/j.tjem.2018.05.004. eCollection 2018 Sep.PMID: 30191188 Free PMC article.


KMEL References