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

  • 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
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.

Published
2022-05-01
How to Cite
Ahmed, U., Awan, M., Ahmed, G., & Asad, H. (2022). Focused Assessment with Sonography for Trauma (FAST) Scan Versus Exploratory Laparotomy in Patients with Blunt Abdominal Trauma. Pakistan Armed Forces Medical Journal (PAFMJ), 72(2), 576-79. https://doi.org/10.51253/pafmj.v72i2.3780
Section
Original Articles