Focused Assessment with Sonography for Trauma (FAST) Scan Versus Exploratory Laparotomy in Patients with Blunt Abdominal Trauma

Authors

  • Umair Ahmed Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan
  • Malik Saeed Awan Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan
  • Ghufran Ahmed Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
  • Hafsa Asad Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i2.3780

Keywords:

Blunt abdominal trauma, Diagnosis, Exploratory laparotomy, Focused assessment with sonography for trauma (FAST) scan, Intra-abdominal injury

Abstract

Objective: To determine the diagnostic accuracy of FAST scans in patients with blunt abdominal trauma keeping exploratory laparotomy as a gold standard.

Study Design: Cross-sectional validation study.

Place and Duration of Study: Surgical Unit of Combined Military Hospital Kohat from Jan 2019 to June 2019.

Methodology: Trauma patients reporting to the emergency department had a FAST scan using a portable ultrasound machine. The radiologist performed and interpreted the scans within one hour of the patient's arrival. The four standard views were obtained. Those who had positive FAST scans underwent a laparotomy without further evaluation. Patients with negative FAST scans did not have laparotomy unless unstable. Only those patients who underwent laparotomy were included in our study.

Results: Out of 70 cases, comparison of the FAST scans in patients with blunt abdominal trauma keeping exploratory laparotomy as the gold standard to diagnose intra-abdominal injury was recorded as 88.88%, 82.35%, 94.00%, 70.00% and 87.14% for sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy respectively.

Conclusion: Diagnostic accuracy of FAST scan in diagnosing intra-abdominal injury is higher, so it can be used routinely to diagnose intra-abdominal injury as a result of blunt abdominal trauma

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Author Biography

Malik Saeed Awan, Combined Military Hospital Kohat/National University of Medical Sciences (NUMS) Pakistan

 COL DR Malik Saeed awan is classified surgical specialist and was working as head of department at cmh kohat.

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Published

01-05-2022

How to Cite

1.
Ahmed U, Awan MS, Ahmed G, Asad H. Focused Assessment with Sonography for Trauma (FAST) Scan Versus Exploratory Laparotomy in Patients with Blunt Abdominal Trauma. Pak Armed Forces Med J [Internet]. 2022 May 1 [cited 2024 May 26];72(2):576-79. Available from: https://pafmj.org/PAFMJ/article/view/3780

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