ArticleJournal of the American College of Emergency Physicians open2022
Focused assessment with sonography for trauma in predicting early surgical intervention in hemodynamically unstable children with blunt abdominal trauma.
Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05538390 (Assesment of Pattern of Abdominal Injury Over a Two Year Period at St Paul's Hospital Millennium Medical College and AaBET Hospital, Addis Ababa, Ethiopia), which is not on this map. Cited by 7 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Assesment of Pattern of Abdominal Injury Over a Two Year Period at St Paul's Hospital Millennium Medical College and AaBET Hospital, Addis Ababa, Ethiopia: A Retrospective Study
Who cites it
7 citing papers in PubMed, 23 citations in OpenAlex.
- Nonoperative Management of Pediatric Liver Injury: Current Evidence, Clinical Indications, and Outcomes.Medicina (Kaunas, Lithuania) · 2026Review
- Diagnostic accuracy of focused assessment with sonography in trauma for blunt abdominal injury: A prospective observational study.Bioinformation · 2026Article
- Review
- Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.Pediatric radiology · 2025Review
- Management of Pediatric Solid Organ Injuries.Children (Basel, Switzerland) · 2024Review
- 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
- Assessment of Pattern of Abdominal Injury over a Two-Year Period at St Paul's Hospital Millenium Medical College and AaBET Hospital, Addis Ababa, Ethiopia: A Retrospective Study.Emergency medicine international · 2022Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe predictive accuracy and clinical role of the focused assessment with sonography for trauma (FAST) exam in pediatric blunt abdominal trauma are uncertain. This study investigates the performance of the emergency department (ED) FAST exam to predict early surgical intervention and subsequent free fluid (FF) in pediatric trauma patients.
methodsPediatric level 1 trauma patients ages 0 to 15 years with blunt torso trauma at a single trauma center were retrospectively reviewed. After stratification by initial hemodynamic (HD) instability, the association of a positive FAST with (1) early surgical intervention, defined as operative management (laparotomy or open pericardial window) or angiography within 4 hours of ED arrival and (2) presence of FF during early surgical intervention was determined.
resultsAmong 508 salvageable pediatric trauma patients with an interpreted FAST exam, 35 (6.9%) had HD instability and 98 (19.3%) were FAST positive. A total of 42 of 508 (8.3%) patients required early surgical intervention, and the sensitivity and specificity of FAST predicting early surgical intervention were 59.5% and 84.3%, respectively. The specificity and positive predictive value of FF during early surgical intervention in FAST-positive HD unstable patients increased from 50% and 90.9% at 4 hours after ED arrival to 100% and 100% at 2 hours after ED arrival, respectively.
conclusionsIn this large series of injured children, a positive FAST exam improves the ability to predict the need for early surgical intervention, and accuracy is greater for FF in HD unstable patients 2 hours after arrival to the ED.
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