Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough?
Objective: To determine the diagnostic accuracy of a Focused Assessment with Sonography for Injury (FAST) scan in blunt abdominal injury with suspected hollow viscus organ perforation, keeping a computed tomography (CT) scan of the abdomen as a reference. Study Design: Cross-sectional study. P...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-10-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/PAFMJ/article/view/8511 |
| _version_ | 1797341039420243968 |
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| author | Sadaf Aziz Yasser Khan Lubaina Awais Iram Mohsin Meena Azeem Faiza Zahoor |
| author_facet | Sadaf Aziz Yasser Khan Lubaina Awais Iram Mohsin Meena Azeem Faiza Zahoor |
| author_sort | Sadaf Aziz |
| collection | DOAJ |
| description |
Objective: To determine the diagnostic accuracy of a Focused Assessment with Sonography for Injury (FAST) scan in blunt
abdominal injury with suspected hollow viscus organ perforation, keeping a computed tomography (CT) scan of the abdomen as a reference.
Study Design: Cross-sectional study.
Place and Duration of Study: Radiology Department, Combined Military Hospital, Peshawar Pakistan, from Aug 2017 to Feb 2018.
Methodology: One hundred forty-seven hemodynamically stable patients aged 20-60 years of either gender presenting in the Emergency Department (ED) with clinical suspicion of blunt abdominal injury were included. FAST scan and CT abdomen
reporting were done by two separate consultants blinded to each other.
Results: The mean age was 35.84±8.44 years, ranging from 21-60 years. Among 72 FAST-positive patients, 68(46.3%) were true positive, and 4(2.7%) were false positive. Among 75 FAST negative patients, 6(4.1%) were false negative, and 69(46.9%) were true negative. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of FAST compared to CT was 91.89%, 94.52%, 94.44% and 92.00%, respectively; FAST scan was correct in 93.20%.
Conclusions: FAST Ultrasound is a sensitive and specific tool in the screening and diagnosing of abdominal injury resulting
from blunt abdominal injury.
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| first_indexed | 2024-03-08T10:12:08Z |
| format | Article |
| id | doaj.art-d9ba29bf2f4e4a5c9a0ebb59ad392a32 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:12:08Z |
| publishDate | 2023-10-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-d9ba29bf2f4e4a5c9a0ebb59ad392a322024-01-29T08:26:49ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-10-0173510.51253/pafmj.v73i5.8511Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough?Sadaf Aziz0Yasser Khan1Lubaina Awais2Iram Mohsin3Meena Azeem4Faiza Zahoor5Department of Radiology, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanDepartment of Radiology, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanDepartment of Radiology, Temar Diagnostics, Islamabad PakistanDepartment of Radiology, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanDepartment of Radiology, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) PakistanDepartment of Radiology, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan Objective: To determine the diagnostic accuracy of a Focused Assessment with Sonography for Injury (FAST) scan in blunt abdominal injury with suspected hollow viscus organ perforation, keeping a computed tomography (CT) scan of the abdomen as a reference. Study Design: Cross-sectional study. Place and Duration of Study: Radiology Department, Combined Military Hospital, Peshawar Pakistan, from Aug 2017 to Feb 2018. Methodology: One hundred forty-seven hemodynamically stable patients aged 20-60 years of either gender presenting in the Emergency Department (ED) with clinical suspicion of blunt abdominal injury were included. FAST scan and CT abdomen reporting were done by two separate consultants blinded to each other. Results: The mean age was 35.84±8.44 years, ranging from 21-60 years. Among 72 FAST-positive patients, 68(46.3%) were true positive, and 4(2.7%) were false positive. Among 75 FAST negative patients, 6(4.1%) were false negative, and 69(46.9%) were true negative. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of FAST compared to CT was 91.89%, 94.52%, 94.44% and 92.00%, respectively; FAST scan was correct in 93.20%. Conclusions: FAST Ultrasound is a sensitive and specific tool in the screening and diagnosing of abdominal injury resulting from blunt abdominal injury. https://www.pafmj.org/PAFMJ/article/view/8511Blunt abdominal injuryComputerized TomographyFAST scanUltrasound |
| spellingShingle | Sadaf Aziz Yasser Khan Lubaina Awais Iram Mohsin Meena Azeem Faiza Zahoor Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? Pakistan Armed Forces Medical Journal Blunt abdominal injury Computerized Tomography FAST scan Ultrasound |
| title | Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? |
| title_full | Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? |
| title_fullStr | Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? |
| title_full_unstemmed | Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? |
| title_short | Diagnostic Accuracy of FAST Scan in Hemodynamically Stable Blunt Abdominal Injury Patients; Is it "Fast" enough? |
| title_sort | diagnostic accuracy of fast scan in hemodynamically stable blunt abdominal injury patients is it fast enough |
| topic | Blunt abdominal injury Computerized Tomography FAST scan Ultrasound |
| url | https://www.pafmj.org/PAFMJ/article/view/8511 |
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