Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center

Shaikha Khaled Almansoor; Reem Hamed Althawadi; Thamer Abduljabbar Alabbasi; Salah Ali Al-Ghanem

doi:10.24911/SJEMed/72-1669571453

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Original Article

SJEMed. 2023; 4(2): 362-369

doi: 10.24911/SJEMed/72-1669571453

Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center

Shaikha Khaled Almansoor, Reem Hamed Althawadi, Thamer Abduljabbar Alabbasi, Salah Ali Al-Ghanem.

Abstract
Background: Focused assessment with sonography for trauma (FAST) has a role in the rapid screening of hemodynamically unstable patients to decide on management, however, its role in hemodynamically stable patients remains equivocal.
Objectives: This study aimed to determine the sensitivity and specificity rate of FAST for intra-abdominal injury (IAI) in hemodynamically stable blunt abdominal trauma patients. Secondary outcomes like Glasgow coma score, length of hospital stays (LOS), head injury, and mortality were also examined for their association with FAST scan results.
Settings and Design: A retrospective cross-sectional study was conducted in level-one trauma center in Bahrain.
Methods: This study was conducted from January 2019 to October 2020. A total of 191 trauma codes were activated during this period, however, only 112 patients were included based on the inclusion criteria.
Results: FAST scan in hemodynamically stable patients was found to have a higher specificity (96.7%) than sensitivity (30%) in this study. A higher negative predictive value (NPV) (86.4%) compared to a positive predictive value (66.6%) and a high accuracy rate (84.8%) was observed. LOS showed significant association only with FAST diagnostic accuracy.
Conclusion: In hemodynamically stable patients; FAST is better at ruling in intra IAI when compared to ruling out and its high NPV supports it being a good screening tool. The results do not support the use of FAST as the sole diagnostic tool without performing computed tomography scan.

Key words: FAST, haemodynamically stable, trauma, blunt, abdomen.

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How to Cite this Article

Pubmed Style

Almansoor SK, Althawadi RH, Alabbasi TA, Al-Ghanem SA. Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. SJEMed. 2023; 4(2): 362-369. doi:10.24911/SJEMed/72-1669571453

Web Style

Almansoor SK, Althawadi RH, Alabbasi TA, Al-Ghanem SA. Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. https://sjemed.com/?mno=133088 [Access: October 02, 2023]. doi:10.24911/SJEMed/72-1669571453

AMA (American Medical Association) Style

Almansoor SK, Althawadi RH, Alabbasi TA, Al-Ghanem SA. Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. SJEMed. 2023; 4(2): 362-369. doi:10.24911/SJEMed/72-1669571453

Vancouver/ICMJE Style

Almansoor SK, Althawadi RH, Alabbasi TA, Al-Ghanem SA. Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. SJEMed. (2023), [cited October 02, 2023]; 4(2): 362-369. doi:10.24911/SJEMed/72-1669571453

Harvard Style

Almansoor, S. K., Althawadi, . R. H., Alabbasi, . T. A. & Al-Ghanem, . S. A. (2023) Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. SJEMed, 4 (2), 362-369. doi:10.24911/SJEMed/72-1669571453

Turabian Style

Almansoor, Shaikha Khaled, Reem Hamed Althawadi, Thamer Abduljabbar Alabbasi, and Salah Ali Al-Ghanem. 2023. Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. Saudi Journal of Emergency Medicine, 4 (2), 362-369. doi:10.24911/SJEMed/72-1669571453

Chicago Style

Almansoor, Shaikha Khaled, Reem Hamed Althawadi, Thamer Abduljabbar Alabbasi, and Salah Ali Al-Ghanem. "Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center." Saudi Journal of Emergency Medicine 4 (2023), 362-369. doi:10.24911/SJEMed/72-1669571453

MLA (The Modern Language Association) Style

Almansoor, Shaikha Khaled, Reem Hamed Althawadi, Thamer Abduljabbar Alabbasi, and Salah Ali Al-Ghanem. "Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center." Saudi Journal of Emergency Medicine 4.2 (2023), 362-369. Print. doi:10.24911/SJEMed/72-1669571453

APA (American Psychological Association) Style

Almansoor, S. K., Althawadi, . R. H., Alabbasi, . T. A. & Al-Ghanem, . S. A. (2023) Clinical utility of performing FAST scan in hemodynamically stable patients presenting with blunt abdominal trauma in level one trauma center. Saudi Journal of Emergency Medicine, 4 (2), 362-369. doi:10.24911/SJEMed/72-1669571453

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About Saudi Journal of Emergency Medicine Saudi Journal of Emergency Medicine is an international, peer-reviewed publication. The journal is available free online at https://sjemed.com/. ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information Waraqa Scientific Publishing House, Saudi Arabia. Prince Mohamed Ben Saad Road, Building #6427, First floor, office # 1&2, Al Malqa Neighborhood, P.O.Box 3254, post code:13524. Riyadh, Kingdom of Saudi Arabia https://waraqa.sa/ Editorial Office Email: contact@sjemed.com Editor in Chief Email: eic@sjemed.com Contact the Publisher: Discover STM Publishing Ltd. 82 Leslie's Arch, Old Quarter, Ballincollig, Cork, P31 RY62, Ireland. https://discoverpublish.com/ Email: contact@discoverpublish.com