Investigation of Accuracy of FAST Findings of Multitrauma Patients in Comparison with Abdominal CT Results

Abstract

Objective: In our study, we aimed to investigate the accuracy of Focused Assessment Sonography for Trauma (FAST) findings of multitrauma patients in com parison with abdominal CT results. Material and Methods: Age, gender, demographic properties, trauma type, arrival method to the emergency service, abdominal USG results, abdominal CT results, results of other CT scans, hospitalization data, and hemoglobin (Hb) and white blood cell count (WBC) values of the patients were recorded. Results: One hundred eighty (79.6%) males and 46 (20.4%) females (total 226 patients) were included to our study. Mean age was 38.74±17.18; 203 (89.8%) patients were traffic accidents, and 23 (10.2%) patients were falls from heights. The sensitivity of FAST was 50% and specificity was 93.7%. The positive predictive value (PPV) was 60 and negative predictive value was 90.8%. Conclusion: Multiple trauma patients with positive USG findings according to their hemodynamic situations and multitrauma patients with suspicious USG findings should undergo abdominal CT scan in the emergency service. (JAEM 2014; 13: 104-7)