Document Details Document Type : Article In Journal  Document Title : Focused abdominal US in patients with trauma Focused abdominal US in patients with trauma   Subject : Diagnostic Imaging  Document Language : English  Abstract : PURPOSE: To evaluate the accuracy of focused abdominal ultrasonography (US) in detecting abdominal injuries that require in-hospital patient treatment in the setting of blunt abdominal trauma. MATERIALS AND METHODS: One thousand ninety patients with blunt abdominal trauma were assessed with focused abdominal US within 30 minutes of arrival at the hospital. Focused abdominal US results were positive if intra- or retroperitoneal fluid was detected. Patients with negative US results and no other major injuries were observed in the emergency department for 12 hours before discharge. Patients who deteriorated clinically after negative initial US underwent repeat US and/or emergency abdominopelvic computed tomography (CT). Patients with positive or indeterminate US results underwent emergency abdominopelvic CT. RESULTS: Nine hundred seventy-four (89%) patients had negative focused abdominal US results; eight of these underwent CT. Sixty-six (6%) had positive US results. Four (0.4%) had false-negative and 19 (1.7%) had false-positive US results. Twenty-seven (2.5%) had indeterminate US results; of these, five (18.5%) had positive CT results. One hundred twenty-four (11.4%) required emergency CT. After indeterminate cases were excluded, focused abdominal US had 94% sensitivity, 98% specificity, 78% positive predictive value, 100% negative predictive value, and 95% accuracy. CONCLUSION: Focused abdominal US has a high negative predictive value for major abdominal injury in patients with blunt abdominal trauma  ISSN : 0033-8419  Journal Name : Radiology  Volume : 217  Issue Number : 2  Publishing Year : 1421 AH 2000 AD  Article Type : Article  Added Date : Sunday, April 3, 2011  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email سطام لنجاوي Lingawi, Sattam Investigator Doctorate   Files File Name Type Description  29535.pdf pdf   Back To Researches Page