TITLE

Surgeon-Directed Ultrasound for Trauma is a Predictor of Intra-Abdominal Injury in Children

AUTHOR(S)
Suthers, S. E.; Albrecht, Roxie; Foley, David; Mantor, P. Cameron; Puffinbarger, Nikola K.; Jones, Susan K.; Tuggle, David W.
PUB. DATE
February 2004
SOURCE
American Surgeon;Feb2004, Vol. 70 Issue 2, p164
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This study investigated the efficacy of surgeon-directed focused assessment with sonography for trauma (FAST) in conjunction with physical exam (PEx) as a predictor of intro-abdominal injury in children. Injured children (ages ≤ 17) presenting to a level I trauma center with abdominal trauma were evaluated in the emergency department (ED) by the trauma team of surgical attendings and residents. PEx and FAST were performed immediately upon arrival to the ED and results compared to CT, the standard exam for presence of intro-abdominal injury. Data was collected prospectively from July 1, 2000, until April 30, 2002. One hundred and twenty injured children underwent evaluation of abdominal trauma with PEx, FAST, and abdominal CT. Two patients had false-negative CT scans. Bayesian analysis was applied to the results of the remaining 118 patients. FAST compared with CT findings revealed sensitivity 70 per cent, specificity 100 per cent, positive predictive value 100 per cent, and negative predictive value 92 per cent. FAST results were combined with PEx findings such that either suggestive of intro-abdominal injury was regarded as a "positive exam." Sensitivity was 100 per cent, specificity 74 per cent, positive predictive value 53 per cent, and negative predictive value 100 per cent. Surgeon-directed FAST with consideration of PEx is a predictor of intro-abdominal injury in children.
ACCESSION #
12618954

 

Related Articles

  • Cystic lymphangioma of the lesser sac. Baghai-Wadji, Massoud; JalalKamali, Azadeh; Mirshekari, ToorajReza // Canadian Journal of Surgery;Aug2006, Vol. 49 Issue 4, p292 

    The article cites a case of a 44-year-old woman who has been admitted for abdominal pain. Physical examination revealed mild epigastric tenderness and fullness. The patient's cystic lymphangioma is a benign, slow-growing tumor derived from the lymphatic vessels. The diagnosis is made by means of...

  • Do you really need ultrasound? Young, Stephanie // Glamour;Mar94, Vol. 92 Issue 3, p60 

    Gives details on the importance of ultrasound for pregnant women. Keys to ultrasound tests; Risk factors; Capacity to diagnose fetal anomalies.

  • The value of a normal sonogram. Young, Stephanie // Glamour;Jul94, Vol. 92 Issue 7, p40 

    Focuses on the benefits of routine sonograms or ultrasounds to assess the health of a baby inside a mother's womb.

  • Diagnostic Utility of Sonography and Computed Tomography in Spontaneous Mesenteric Hematoma. Raghavendra, B. Nagesh; Grieco, Anthony J.; Balthazar, Emil J.; Megibow, Alec J.; Subramanyam, Bala R. // American Journal of Gastroenterology;Aug1982, Vol. 77 Issue 8, p570 

    Deals with a study on the utility of sonography and computed tomography in spontaneous mesenteric hematoma. Details on the case of a 37-year-old woman suffering from increasing lower abdominal pain.; Result of the physical examination conducted to the woman; Analysis of the result.

  • Adenocarcinoma Arising in a Colonic Duplication Cyst: A Case Report and Review of the Literature. Myunghee Kang; Jungsuk An; Dong Hae Chung; Hyun Yee Cho // Korean Journal of Pathology;Feb2014, Vol. 48 Issue 1, p62 

    The article presents a case study of a 23-year-old woman patient who was admitted with a palpable abdominal mass. Details of the patient's physical examination are discussed. Results of the ultrasonography disclosed a hypoechoic cystic mass with an internal echogenic dot in the right lower...

  • Intraosseous venous drainage of pretibial varices. Kwee, Robert; Kavanagh, Eoin; Adriaensen, Miraude // Skeletal Radiology;Jun2013, Vol. 42 Issue 6, p843 

    In this study, we present the case of a 74-year-old male patient who presented with a painful pretibial swelling. The patient had a history of varices of the ipsilateral leg for which he had undergone stripping and ligation. At physical examination, pretibial varices and an associated soft...

  • Pathologic Quiz Case Paratesticular Mass in a Young Man. Kapur, Payal; Treat, Kristin; Chuang, Alex Tzu-Yueh; Hoang, Mai P. // Archives of Pathology & Laboratory Medicine;May2004, Vol. 128 Issue 5, p589 

    The article presents a case of a 36 year old African American man with a 2 year history of a gradually enlarging scrotal mass. Physical examination revealed a firm testicular mass and right inguinal lymphadenopathy. Sonography showed an extratesticular, irregularly lobulated mass that measured...

  • Prediction of Syndrome during IVF. Bergh, Christina // Fertility Weekly;5/10/2010, p1 

    The article presents a study on the prediction of ovarian hyperstimulation syndrome (OHSS) throughout in vitro fertilization (IVF). It states that the study was conducted to determine the independent factors in identifying the IVF patients at risk for OHSS. It mentions that patients underwent...

  • Screening for abdominal aortic aneurysm in men ages 60 to 80 years. A cost-effectiveness analysis. Frame, Paul S.; Fryback, Dennis G.; Patterson, Christopher; Frame, P S; Fryback, D G; Patterson, C // Annals of Internal Medicine;9/1/93, Vol. 119 Issue 5, p411 

    Purpose: To evaluate the cost-effectiveness of screening by physical examination or abdominal ultrasonography for abdominal aortic aneurysm (AAA) in men aged 60 to 80 years.Data Sources: A systematic review of the pertinent literature by the Canadian Task Force on the...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics