Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients
El-Gendy, A., Sobhy, T., Hamed, M., Esmail, H. (2022). Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients. EKB Journal Management System, 89(2), 6993-6999. doi: 10.21608/ejhm.2022.272492
Alaa Mostafa Abdel-Khalik El-Gendy; Tarek Mohamed Sobhy; Maged Abdel-Gleel Hamed; Hanan Abdel-Hameed Esmail. "Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients". EKB Journal Management System, 89, 2, 2022, 6993-6999. doi: 10.21608/ejhm.2022.272492
El-Gendy, A., Sobhy, T., Hamed, M., Esmail, H. (2022). 'Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients', EKB Journal Management System, 89(2), pp. 6993-6999. doi: 10.21608/ejhm.2022.272492
El-Gendy, A., Sobhy, T., Hamed, M., Esmail, H. Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients. EKB Journal Management System, 2022; 89(2): 6993-6999. doi: 10.21608/ejhm.2022.272492

Study of Extended Focused Assessment Sonography Accuracy versus Computed Tomography in Multiple Trauma Patients

The Egyptian Journal of Hospital Medicine
Article 135, Volume 89, Issue 2, October 2022, Page 6993-6999  XML PDF (397.27 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.272492
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Authors
Alaa Mostafa Abdel-Khalik El-Gendy email ; Tarek Mohamed Sobhy; Maged Abdel-Gleel Hamed; Hanan Abdel-Hameed Esmail
Abstract
Background: Focused assessment with sonography for trauma (FAST), a technological advancement, allowed radiology residents to quickly check patients for injuries at their bedsides. Extended FAST (EFAST) is a recent procedure that scans the lower chest region to detect pneumothorax.
Objective: This study aimed to evaluate the accuracy of E-FAST compared with the results of CT as a gold standard in multiple trauma patients.
Patients and methods: During the six-month period from June 2021 to December 2021, our prospective, observational, and diagnostic accuracy study, which included 53 patients with multiple trauma and for whom CT scans were performed at the time of arrival in the emergency room, at the Radiodiagnosis Department, Zagazig University Hospital.
Results: FAST results in comparison to CT results among the participants indicated that there were 26 true positive diagnosis of hemothorax and pneumothorax, while 3 were false negative. There were 25 had true positive diagnosis of hemoperitoneum among them 18 had true positive solid organ injury while 3 had false negative diagnosis of hemoperitoneum among them 1 had false negative diagnosis of solid organ injury
Conclusion: E-FAST examination has an excellent specificity as considered as a useful diagnostic procedure for the primary assessment of trauma patients in ED. However, the sensitivity detected is not high enough to rule-out thoraco-abdominal injuries in multiple trauma patients. It is also a portable and non- invasive procedure but is operator dependent.
 
 
Keywords
Extended focused assessment sonography; Computed tomography; Multiple trauma
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