Extended-focused Ultrasonography for Children with High-energy Trauma
Aim:Ultrasonography (USG) is an important tool used in the diagnosis of critical patients. The present study was carried out in order to detect intra-peritoneal free liquid in cases with high-energy trauma by using “extended-focused trauma (E-FAST) USG” and to determine the diagnostic power and bene...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-12-01
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| Series: | Journal of Pediatric Research |
| Subjects: | |
| Online Access: |
http://jpedres.org/archives/archive-detail/article-preview/extended-focused-ultrasonography-for-children-with/30601
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| _version_ | 1797921340528787456 |
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| author | Özlem Tolu Kendir Hayri Levent Yılmaz Tuğçe Çelik İlker Ünal Sinem Sarı Gökay Ahmet Kağan Özkaya |
| author_facet | Özlem Tolu Kendir Hayri Levent Yılmaz Tuğçe Çelik İlker Ünal Sinem Sarı Gökay Ahmet Kağan Özkaya |
| author_sort | Özlem Tolu Kendir |
| collection | DOAJ |
| description | Aim:Ultrasonography (USG) is an important tool used in the diagnosis of critical patients. The present study was carried out in order to detect intra-peritoneal free liquid in cases with high-energy trauma by using “extended-focused trauma (E-FAST) USG” and to determine the diagnostic power and benefits of this method.Materials and Methods:The medical records of pediatric cases with high-energy trauma were examined retrospectively. The results of computed tomography (CT) and radiologist-operated abdominal (Rad) USG and the demographic data of patients were compared with the results obtained from E-FAST-USG performed by a pediatric emergency specialist. Chi-square test was used to compare the categorical measurements among the groups.Results:One hundred and sixty patients were observed during the study period. When E-FAST-USG was compared to Rad-USG, the accuracy rate of E-FAST-USG was found to be 97.5%, sensitivity to be 90.9%, and specificity to be 98%. Forty-one of the patients were examined using CT. The sensitivity of Rad-USG was found to be 64.6% and specificity to be 93.3%, whereas the sensitivity of FAST-USG was found to be 81.8% and specificity to be 93.3%.Conclusion:FAST-USG can be used in pediatric trauma cases at high sensitivity-specificity levels, and the radiation exposure of CT, which is a major consideration during childhood, can be reduced. |
| first_indexed | 2024-04-10T14:14:39Z |
| format | Article |
| id | doaj.art-c304561721d64d369566285e21c247da |
| institution | Directory Open Access Journal |
| issn | 2147-9445 2587-2478 |
| language | English |
| last_indexed | 2024-04-10T14:14:39Z |
| publishDate | 2019-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Pediatric Research |
| spelling | doaj.art-c304561721d64d369566285e21c247da2023-02-15T16:09:35ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782019-12-016432933510.4274/jpr.galenos.2019.2243813049054Extended-focused Ultrasonography for Children with High-energy TraumaÖzlem Tolu Kendir0Hayri Levent Yılmaz1Tuğçe Çelik2İlker Ünal3Sinem Sarı Gökay4Ahmet Kağan Özkaya5 Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Pediatrics, Adana, Turkey Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Pediatrics, Adana, Turkey Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Pediatrics, Adana, Turkey Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Biostatistic, Adana, Turkey Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Pediatrics, Adana, Turkey Çukurova University Balcalı Hospital, Health Application and Research Center, Department of Pediatrics, Adana, Turkey Aim:Ultrasonography (USG) is an important tool used in the diagnosis of critical patients. The present study was carried out in order to detect intra-peritoneal free liquid in cases with high-energy trauma by using “extended-focused trauma (E-FAST) USG” and to determine the diagnostic power and benefits of this method.Materials and Methods:The medical records of pediatric cases with high-energy trauma were examined retrospectively. The results of computed tomography (CT) and radiologist-operated abdominal (Rad) USG and the demographic data of patients were compared with the results obtained from E-FAST-USG performed by a pediatric emergency specialist. Chi-square test was used to compare the categorical measurements among the groups.Results:One hundred and sixty patients were observed during the study period. When E-FAST-USG was compared to Rad-USG, the accuracy rate of E-FAST-USG was found to be 97.5%, sensitivity to be 90.9%, and specificity to be 98%. Forty-one of the patients were examined using CT. The sensitivity of Rad-USG was found to be 64.6% and specificity to be 93.3%, whereas the sensitivity of FAST-USG was found to be 81.8% and specificity to be 93.3%.Conclusion:FAST-USG can be used in pediatric trauma cases at high sensitivity-specificity levels, and the radiation exposure of CT, which is a major consideration during childhood, can be reduced. http://jpedres.org/archives/archive-detail/article-preview/extended-focused-ultrasonography-for-children-with/30601 pediatric emergencyextended-focused trauma ultrasonographyhigh-energy trauma |
| spellingShingle | Özlem Tolu Kendir Hayri Levent Yılmaz Tuğçe Çelik İlker Ünal Sinem Sarı Gökay Ahmet Kağan Özkaya Extended-focused Ultrasonography for Children with High-energy Trauma Journal of Pediatric Research pediatric emergency extended-focused trauma ultrasonography high-energy trauma |
| title | Extended-focused Ultrasonography for Children with High-energy Trauma |
| title_full | Extended-focused Ultrasonography for Children with High-energy Trauma |
| title_fullStr | Extended-focused Ultrasonography for Children with High-energy Trauma |
| title_full_unstemmed | Extended-focused Ultrasonography for Children with High-energy Trauma |
| title_short | Extended-focused Ultrasonography for Children with High-energy Trauma |
| title_sort | extended focused ultrasonography for children with high energy trauma |
| topic | pediatric emergency extended-focused trauma ultrasonography high-energy trauma |
| url |
http://jpedres.org/archives/archive-detail/article-preview/extended-focused-ultrasonography-for-children-with/30601
|
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