ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017
Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).Critical care (London, England) · 2020Guideline
- Review
- Article
- Proper hepatic artery transection followed by blunt abdominal trauma: A case report and review of literature.Clinical case reports · 2024Article
- Accuracy of FAST in detecting intraabdominal bleeding in major trauma with pelvic and/or acetabular fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Current consensus and clinical approach to fragility fractures of the pelvis: an international survey of expert opinion.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Article
- Point-of-care ultrasound evaluation of blunt abdominal trauma.Journal of the American College of Emergency Physicians open · 2022Article
- A multicenter evaluation of the accuracy of prehospital eFAST by a physician-staffed helicopter emergency medical service.Emergency radiology · 2022Article
- Focused assessment with sonography for trauma in predicting early surgical intervention in hemodynamically unstable children with blunt abdominal trauma.Journal of the American College of Emergency Physicians open · 2022Article
- Diagnostic Accuracy of e-FAST in Stable Blunt Trauma Chest: A Prospective Analysis of 110 Cases at a Tertiary Care Center.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Clinical value of bedside abdominal sonography performed by certified sonographer in emergency evaluation of blunt abdominal trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Article
- The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition.Critical care (London, England) · 2019Article
- Combination of liver enzymes, amylase and abdominal ultrasound tests have acceptable diagnostic values as an alternative test for abdominopelvic CT scan in blunt abdominal trauma.Open access emergency medicine : OAEM · 2019Article
- Early computed tomography or focused assessment with sonography in abdominal trauma: what are the leading opinions?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Article
- Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention.Critical ultrasound journal · 2017Article
- Focused assessment with sonography for trauma: current perspectives.Open access emergency medicine : OAEM · 2017Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFocussed Assessment with Sonography for Trauma (FAST) is a bedside ultrasonography technique used to detect free intraperitoneal fluid in patients presenting with blunt abdominal trauma (BAT) in the emergency department.
methodsIn this retrospective cohort study we investigated the potential of FAST as a risk stratification instrument in haemodynamically (HD) stable patients presenting after BAT by establishing the association between the FAST exam result and final outcome. An adverse outcome was defined in this context as the need for either a laparoscopy/laparotomy or an angiographic embolization or death due to abdominal injuries).
resultsA total of 421 patients with BAT were included, of which nine had an adverse outcome (2%). FAST was negative in 407 patients. Six of them turned out to have free intraperitoneal fluid (sensitivity 67 [41-86]%). FAST was positive in 14 patients, 12 of whom had free intraperitoneal fluid (specificity 99 [98-100]%). A positive FAST (positive likelihood ratio 34.3 [15.1-78.5]) was stronger associated with an adverse outcome than Injury Severity Score (ISS) or any individual clinical- or biochemical variables measured at presentation in the ED. DISCUSSION: The FAST exam can provide valuable prognostic information at minimal expenses during the early stages of resuscitation in haemodynamically stable patients presenting with BAT.
conclusionsFAST exam should not be omitted in patients with BAT.
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