FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2063057425> ?p ?o ?g. }

• W2063057425 endingPage "701" @default.
• W2063057425 startingPage "695" @default.
• W2063057425 abstract "During the last decade, focused assessment with sonography for trauma increasingly has become the initial diagnostic modality of choice in trauma patients. It is still questionable, however, whether its use results in the underdiagnosis of intra-abdominal injury. It also remains doubtful whether a positive focused assessment with sonography for trauma affects clinical decision making in hemodynamically stable blunt trauma patients as evidenced through abdominal computerized tomography use. The aim of this study was to evaluate the results of focused assessment with sonography for trauma in hemodynamically stable blunt trauma patients and to determine its role in the diagnostic evaluation of these patients.We reviewed our prospectively maintained trauma database. In trauma patients at our institute, focused assessment with sonography for trauma examinations are performed by surgery residents and are considered positive when free intra-abdominal fluid is visualized. Abdominal computerized tomography, diagnostic peritoneal lavage, or exploratory laparotomy findings were used as confirmation of intra-abdominal injury.In our 7-year study period, 2,980 trauma patients were evaluated at our institute, of which 2,130 patients underwent a focused assessment with sonography for trauma. In all, 18 patients had an inconclusive focused assessment with sonography for trauma, whereas 7 patients died on arrival, leaving 2,105 patients for our analysis. A total 88 true positive focused assessment with sonography for trauma were conducted. All hemodynamically stable blunt trauma patients who had a positive focused assessment with sonography for trauma (70/88) were confirmed by computerized tomography. Patients who underwent exploratory laparotomy directly (17/88) or diagnostic peritoneal lavage (1/88) as confirmation either had penetrating trauma or became hemodynamically unstable. A total of 1,894 true negative focused assessments with sonography for trauma scans were conducted, with 1,201 confirmed by computerized tomography and the rest by observation. In all, 118 false negative focused assessment with sonography for trauma were performed, of which 44 (37.3%) subsequently required exploratory laparotomy. Five patients had false positive focused assessment with sonography for trauma scans. Focused assessment with sonography for trauma scan had an overall sensitivity of 43%, a specificity of 99%, and positive and negative predictive values of 95% and 94%, respectively. Accuracy was 94.1%. In the hemodynamically stable blunt trauma group, there were 60 patients with true positive focused assessment with sonography for trauma examinations and 87 patients with false negative focused assessment with sonography for trauma examinations. In this group of patients, focused assessment with sonography for trauma had a sensitivity of 41%, specificity of 99%, and positive and negative predictive values of 94% and 95%, respectively. The overall accuracy was 95%.Given the low sensitivity, a negative focused assessment with sonography for trauma without confirmation by computerized tomography may result in missed intra-abdominal injuries. It is also observed in all focused assessment with sonography for trauma positive hemodynamically stable blunt trauma patients, confirmation is preferred through the use of a computerized tomography for better understanding of the intra-abdominal injuries and to decide on operative versus no-operative management. Thus, the use of focused assessment with sonography for trauma in hemodynamically stable blunt trauma patients seems not worthwhile. It should be reserved for hemodynamically unstable patients with blunt trauma." @default.
• W2063057425 created "2016-06-24" @default.
• W2063057425 creator A5011361847 @default.
• W2063057425 creator A5034741139 @default.
• W2063057425 creator A5061598960 @default.
• W2063057425 creator A5061620970 @default.
• W2063057425 creator A5076308776 @default.
• W2063057425 creator A5079244092 @default.
• W2063057425 date "2010-10-01" @default.
• W2063057425 modified "2023-09-25" @default.
• W2063057425 title "FAST scan: Is it worth doing in hemodynamically stable blunt trauma patients?" @default.
• W2063057425 cites W1968863227 @default.
• W2063057425 cites W2005149724 @default.
• W2063057425 cites W2010538280 @default.
• W2063057425 cites W2021030093 @default.
• W2063057425 cites W2024122668 @default.
• W2063057425 cites W2033786024 @default.
• W2063057425 cites W2048780151 @default.
• W2063057425 cites W2065777473 @default.
• W2063057425 cites W2066769156 @default.
• W2063057425 cites W2075424202 @default.
• W2063057425 cites W2082969084 @default.
• W2063057425 cites W2109012067 @default.
• W2063057425 cites W2122913603 @default.
• W2063057425 cites W2134656979 @default.
• W2063057425 cites W2139885658 @default.
• W2063057425 cites W2150223598 @default.
• W2063057425 cites W2158624772 @default.
• W2063057425 cites W4295043709 @default.
• W2063057425 cites W4361866207 @default.
• W2063057425 cites W57169387 @default.
• W2063057425 doi "https://doi.org/10.1016/j.surg.2010.07.032" @default.
• W2063057425 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20800865" @default.
• W2063057425 hasPublicationYear "2010" @default.
• W2063057425 type Work @default.
• W2063057425 sameAs 2063057425 @default.
• W2063057425 citedByCount "112" @default.
• W2063057425 countsByYear W20630574252012 @default.
• W2063057425 countsByYear W20630574252013 @default.
• W2063057425 countsByYear W20630574252014 @default.
• W2063057425 countsByYear W20630574252015 @default.
• W2063057425 countsByYear W20630574252016 @default.
• W2063057425 countsByYear W20630574252017 @default.
• W2063057425 countsByYear W20630574252018 @default.
• W2063057425 countsByYear W20630574252019 @default.
• W2063057425 countsByYear W20630574252020 @default.
• W2063057425 countsByYear W20630574252021 @default.
• W2063057425 countsByYear W20630574252022 @default.
• W2063057425 countsByYear W20630574252023 @default.
• W2063057425 crossrefType "journal-article" @default.
• W2063057425 hasAuthorship W2063057425A5011361847 @default.
• W2063057425 hasAuthorship W2063057425A5034741139 @default.
• W2063057425 hasAuthorship W2063057425A5061598960 @default.
• W2063057425 hasAuthorship W2063057425A5061620970 @default.
• W2063057425 hasAuthorship W2063057425A5076308776 @default.
• W2063057425 hasAuthorship W2063057425A5079244092 @default.
• W2063057425 hasConcept C105698618 @default.
• W2063057425 hasConcept C126838900 @default.
• W2063057425 hasConcept C141071460 @default.
• W2063057425 hasConcept C167135981 @default.
• W2063057425 hasConcept C181299854 @default.
• W2063057425 hasConcept C190385971 @default.
• W2063057425 hasConcept C194828623 @default.
• W2063057425 hasConcept C2777379000 @default.
• W2063057425 hasConcept C2777521253 @default.
• W2063057425 hasConcept C2778966966 @default.
• W2063057425 hasConcept C2780110798 @default.
• W2063057425 hasConcept C2780778865 @default.
• W2063057425 hasConcept C2781339890 @default.
• W2063057425 hasConcept C3017944768 @default.
• W2063057425 hasConcept C544519230 @default.
• W2063057425 hasConcept C71924100 @default.
• W2063057425 hasConcept C85004164 @default.
• W2063057425 hasConceptScore W2063057425C105698618 @default.
• W2063057425 hasConceptScore W2063057425C126838900 @default.
• W2063057425 hasConceptScore W2063057425C141071460 @default.
• W2063057425 hasConceptScore W2063057425C167135981 @default.
• W2063057425 hasConceptScore W2063057425C181299854 @default.
• W2063057425 hasConceptScore W2063057425C190385971 @default.
• W2063057425 hasConceptScore W2063057425C194828623 @default.
• W2063057425 hasConceptScore W2063057425C2777379000 @default.
• W2063057425 hasConceptScore W2063057425C2777521253 @default.
• W2063057425 hasConceptScore W2063057425C2778966966 @default.
• W2063057425 hasConceptScore W2063057425C2780110798 @default.
• W2063057425 hasConceptScore W2063057425C2780778865 @default.
• W2063057425 hasConceptScore W2063057425C2781339890 @default.
• W2063057425 hasConceptScore W2063057425C3017944768 @default.
• W2063057425 hasConceptScore W2063057425C544519230 @default.
• W2063057425 hasConceptScore W2063057425C71924100 @default.
• W2063057425 hasConceptScore W2063057425C85004164 @default.
• W2063057425 hasIssue "4" @default.
• W2063057425 hasLocation W20630574251 @default.
• W2063057425 hasLocation W20630574252 @default.
• W2063057425 hasOpenAccess W2063057425 @default.
• W2063057425 hasPrimaryLocation W20630574251 @default.
• W2063057425 hasRelatedWork W1967659841 @default.
• W2063057425 hasRelatedWork W2012239870 @default.
• W2063057425 hasRelatedWork W2050413759 @default.

• next