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The Predictive Value of Repeated Abdominal Ultrasonography in Patients with Multiple Trauma and Decreased Level of Consciousness: The Experience of a Resource-Limited Centre.
Paydar, Shahram; Dalfardi, Behnam; Zangbar-Sabegh, Bardia; Heidaripour, Hossein; Pourandi, Leila; Shakibafard, Alireza; Tahmtan, Mehdi; Shayan, Leila; Niakan, Mohammad Hadi.
Afiliación
  • Paydar S; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Dalfardi B; Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Zangbar-Sabegh B; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Heidaripour H; Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Pourandi L; Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, University of Arizona, Tucson, Arizona.
  • Shakibafard A; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Tahmtan M; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Shayan L; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Niakan MH; Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Bull Emerg Trauma ; 6(1): 26-30, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29379806
OBJECTIVE: To determine the predictive value of repeated abdominal ultrasonography in patients with multiple trauma and decreased level of consciousness (LOC). METHODS: This prospective cross-sectional study was conducted over a six-month period at Shahid Rajaee Trauma Hospital, Shiraz, Iran. We included hemodynamically stable blunt abdominal trauma patients with a decreased LOC (Glasgow Coma Scale ≤ 13) who were referred to the neurosurgery ICU ward. Included cases underwent 1 contrast-enhanced CT scan and two-time ultrasonographic study of the abdomen with an interval of 48 hours. The diagnostic accuracy of the ultrasonography was determined according to the CT-scan results. RESULTS: Overall 80 patients with mean age of 37.75 ± 18.67 years were included. There were 17 (21.3%) women and 63 (78.8%) men among the patients. Compared with the CT-Scan, the first ultrasonography showed a sensitivity of 60%, specificity of 80%, PPV of 16.60%, NPV of 96.80%, and a diagnostic accuracy of 70%. The same values for the second ultrasonographic study were 80%, 79%, 20%, 98%, and 79%, respectively. In 4 (5%) patients whose first ultrasonography and CT scan results were negative, the second ultrasonography was positive for injury. CONCLUSION: In patients with blunt trauma to the abdomen, when the only indication of abdominal CT scan is a decreased LOC, two ultrasonographic studies can replace a CT imaging.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Bull Emerg Trauma Año: 2018 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Irán
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Bull Emerg Trauma Año: 2018 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Irán