Cross-Sectional Study Comparing the Diagnostic Accuracy of Focused Assessment with Sonography in Trauma (FAST) and Multidetector Computed Tomography (CT) Scan in Patients with Abdominal Trauma | ||
| Journal of Current Medical Research and Practice | ||
| Volume 10, Issue 4, October 2025, Pages 149-158 PDF (395.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jcmrp.2024.294602.1073 | ||
| Authors | ||
| Khaled Salah Moustafa1; Shimaa Abbas Hassan* 2; Zeinab Salah2; Mohamed Abd El-Latif2; Ayman A. Abou Glala2 | ||
| 1Emergency Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. | ||
| 2Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Assiut University, Assiut, Egypt. | ||
| Abstract | ||
| Abstract: Background and Objectives: Traumatic abdominal injuries rank as the leading cause of death for those under 45years, mostly due to hypovolemic shock. Detecting hemoperitoneum and hemopericardium is the aim of the Focused Assessment with Sonography in Trauma(FAST). We compared the multidetector Computed Tomography(MDCT) scan with FAST to evaluate the diagnostic accuracy of FAST as a first tool in patients with abdominal injuries. Patients and Methods: A descriptive study was conducted in the Emergency Medicine Departments of Assiut and Alexandria Main University Hospitals to investigate abdominal trauma among100individuals.Each patient had a FAST examination and an (MDCT) scan of their abdomen. The main aim was to evaluate the sensitivity and specificity of FAST in detecting the presence or absence of intra-peritoneal free fluid collection as an indirect sign of acute bleeding and damage to intra-abdominal or pelvic organs, in addition to evaluating the patients' outcomes, either therapeutic laparotomy or observation with follow-up, and then discharge. Results: FAST had identified hemoperitoneum with 98% accuracy; however, it could not identify any pancreatic injury or retroperitoneal hematoma.FAST overall accuracy was96.3%,95.9%,and81.2%in identifying hepatic, splenic, and renal injuries, respectively. Conclusion: FAST is preferred for initial assessment of traumatized individuals since it offers a reasonable sensitivity for identifying hemoperitoneum in addition to advanced hepatic and splenic damage. More investigations are needed to reach a definitive judgment. | ||
| Keywords | ||
| Keywords: Accurate diagnosis; Targeted evaluation using sonography in trauma; Abdominal trauma | ||
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