ArticleEmergency medicine international2022
Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Blunt Abdominal Trauma.
Article in Emergency medicine international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Computed tomography in pediatric blunt abdominal trauma: current evidence, challenges, and future directions - a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Impact of early FAST ultrasound on severe trauma outcomes: a randomized trial in a low-resource African emergency setting (The ALIFAST Trial).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Trial
- Association Between Focused Assessment with Sonography in Trauma (FAST) Results, Transfusion, and Injury in Trauma: A Multicenter Retrospective Cohort Study.Journal of the American College of Emergency Physicians open · 2026Article
- Epidemiology and outcomes of trauma patients transported by helicopter emergency medical services: a descriptive-analytical study.International journal of emergency medicine · 2026Article
- Point-of-care ultrasound in trauma: a systematic review of recent literature.Journal of ultrasonography · 2026Review
- Inter-Rater Agreement Between a Trained Nurse and Physicians in FAST Examination of Trauma Patients: A Pilot Study in the Emergency Department.Healthcare (Basel, Switzerland) · 2026Article
- Diagnostic accuracy of focused assessment with sonography in trauma for blunt abdominal injury: A prospective observational study.Bioinformation · 2026Article
- Review
- Review
- Imaging in Acute Abdominal Emergencies: A Narrative Review of Surgical Decision-Making and Outcomes.Cureus · 2025Review
- Diagnostic performance of prehospital EFAST in predicting CT scan injuries in severe trauma patients: a multicenter cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Proper hepatic artery transection followed by blunt abdominal trauma: A case report and review of literature.Clinical case reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: This study aimed to evaluate the accuracy and outcomes of focused assessment with sonography for trauma (FAST) and determine the factors associated with true-positive FAST results. Methods: The FAST results from 2016 to 2020 were retrospectively reviewed. Cases involving penetrating injury, transfer from other hospitals, age ≤ 16 years, prehospital arrest, and no confirmatory test were excluded. Intra-abdominal fluid was confirmed using computed tomography or operative findings. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Demographic data, injury characteristics, and outcomes were compared between true-positive and false-negative results. Logistic regression was used to identify the factors associated with true-positive results. Results: Of 2,758 patients, 163 and 2,595 patients showed positive and negative results, respectively. True positives were 135 and true negatives were 2325. The overall sensitivity, specificity, PPV, and NPV were 33.3%, 98.8%, 82.8%, and 89.6%, respectively. The sensitivity increased to 49.1% in patients with initial systolic blood pressure (SBP) ≤ 90 mmHg. The true-positive group showed a lower SBP and Glasgow Coma Scale score and a higher laparotomy rate than the false-negative group. However, mortality showed no significant difference. In logistic regression analysis, hollow viscus injury (1.820 [1.123-2.949], Conclusion: The overall sensitivity of FAST was low; therefore, it should be performed in selected patients such as SBP ≤ 90 mmHg. Because of its low sensitivity and no influence on outcome, physicians should not rely solely on FAST.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.