OUTCOME OF BLUNT ABDOMINAL TRAUMAS WITH STABLE HEMODYNAMIC AND POSITIVE FAST FINDINGS

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BEHBOODI FIROOZ; MOHTASHAM AMIRI ZAHRA; MASJEDI NAVID; SHOJAIE REZA; SADRI PEYMAN

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Journal: Archives of Academic Emergency Medicine Year:2016 | Volume:4 | Issue:3 Page(s): 136-139

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Title

OUTCOME OF BLUNT ABDOMINAL TRAUMAS WITH STABLE HEMODYNAMIC AND POSITIVE FAST FINDINGS

Author(s)

Keywords

ABDOMINAL INJURIES

WOUNDS

NONPENETRATING

PATIENT OUTCOME ASSESSMENT

ULTRASONOGRAPHY

TOMOG-RAPHY

X-RAY COMPUTED

Abstract

Introduction: Focused assessment with sonography for trauma (FAST) is a highly effective first screening tool for initial classification of abdominal trauma patients. The present study was designed to evaluate the outcome of patients with blunt abdominal trauma and positive FAST findings.Methods: The present prospective cross-sectional study was done on patients over 7 years old with normal abdominal examination, positive FAST findings, and avail-able abdominopelvic computed tomography (CT) scan findings. The frequency of need for laparotomy as well as its probable risk factors were calculated.Results: 180 patients were enrolled (mean age: 28.0±11.5 years; 76.7% male). FAST findings were confirmed by abdominopelvic CT scan in only 124 (68.9%) cases. Finally, 12 (6.6%) patients needed laparotomy. Mean age of those in need of laparotomy was significantly higher than others (36.75±11.37 versus 27.34±11.37, p=0.006). Higher grading of spleen (p=0.001) and hepatic (p=0.038) ruptures increased the probability of need for laparotomy.Conclusion: 68.9% of the positive FAST findings in patients with blunt abdominal trauma and stable hemodynamics was confirmed by abdominopelvic CT scan and only 6.6% needed laparotomy. Simultaneous presence of free fluid and air in the abdominal area, old age, and higher grading o solid organ injuries were factors that had a significant correlation with need for laparotomy.

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APA: Copy

BEHBOODI, FIROOZ, MOHTASHAM AMIRI, ZAHRA, MASJEDI, NAVID, SHOJAIE, REZA, & SADRI, PEYMAN. (2016). OUTCOME OF BLUNT ABDOMINAL TRAUMAS WITH STABLE HEMODYNAMIC AND POSITIVE FAST FINDINGS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 4(3), 136-139. SID. https://sid.ir/paper/339615/en

Vancouver: Copy

BEHBOODI FIROOZ, MOHTASHAM AMIRI ZAHRA, MASJEDI NAVID, SHOJAIE REZA, SADRI PEYMAN. OUTCOME OF BLUNT ABDOMINAL TRAUMAS WITH STABLE HEMODYNAMIC AND POSITIVE FAST FINDINGS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2016;4(3):136-139. Available from: https://sid.ir/paper/339615/en

IEEE: Copy

FIROOZ BEHBOODI, ZAHRA MOHTASHAM AMIRI, NAVID MASJEDI, REZA SHOJAIE, and PEYMAN SADRI, “OUTCOME OF BLUNT ABDOMINAL TRAUMAS WITH STABLE HEMODYNAMIC AND POSITIVE FAST FINDINGS,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 4, no. 3, pp. 136–139, 2016, [Online]. Available: https://sid.ir/paper/339615/en

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