Surgical follow up after Focused Assessment with Sonography for Trauma Exam in Blunt Abdominal Trauma
DOI:
https://doi.org/10.37506/ijfmt.v16i4.18564Keywords:
Blunt injury, Focused assessment, Sonography, TraumaAbstract
Introduction: Blunt injury sustained from a blunt force may be related to motor vehicle accidents, falls, blows or
crush injuries from animals, blunt objects or assailants. FAST is a low cost and portable method for evaluating
BAT. It provides reasonable accuracy and has a high negative and positive predictive value for diagnosis of
intraperitoneal injuries. Hence the aim of the study was to determine a relationship between the findings in
focussed assessment with sonography in trauma and clinical outcome.
Materials and Methods: A total of 80 patients who underwent FAST were included in the study. A prospective
analytical study was carried over 2 year’s duration. The FAST findings were recorded and clinical follow up for
seven days.
Result: There were more male patients with blunt injury abdomen than female patients. Most common age group
was between 20 to 39 years. The most common cause of BAT was RTA fallowed by falls. Out of 80 patients with
BAT in our study, 29.2% patients were FAST positive and 70.8% patients were FAST negative.
Discussion and Conclusion: On fallow up patient with negative FAST had fewer falls in hemoglobin and
hematocrit compared to the patient with positive FAST. It concluded that FAST scan is a predictor of clinical
outcome in BAT. It was concluded that FAST is a better diagnostic modality in ruling in than ruling out a patient
with blunt abdominal trauma.
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