Complementary exams in blunt torso trauma. Perform only radiographs and fast: is it safe?
| Autor: | Botelho Filho FM; Hospital João XXIII, Belo Horizonte, MG, Brasil., de Oliveira e Silva RC; Hospital João XXIII, Belo Horizonte, MG, Brasil., Starling SV; Hospital João XXIII, Belo Horizonte, MG, Brasil., Zille DP; Faculdade de Medicina, Universidade Federal de Minas Gerais, MG, Brazil., Drumond DA; Hospital João XXIII, Belo Horizonte, MG, Brasil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2015 Jul-Aug; Vol. 42 (4), pp. 220-3. |
| DOI: | 10.1590/0100-69912015004005 |
| Abstrakt: | Objective: to evaluate effectiveness of using chest X-ray (CXR), pelvis X-ray (RXP) and FAST (Focused Abdominal Sonography on Trauma) to exclude significant lesions of the body in blunt trauma. Methods: a prospective study involving 74 patients whom made the three tests (CXR, RXP and FAST) during the initial evaluation between October 2013 and February 2014. The results were compared to the tomography of the same patients or clinical outcome. If the patient did not have alterations on the CT scans or during the observation time, the initial workup was considered safe. All patients were evaluated at the Hospital João XXIII, Belo Horizonte, Brazil. Results: of the 74 patients studied the average age was 33 years, RTS: 6.98, ECG: 12. From 44 (59.45%) patients with exams (radiographs and FAST) unchanged, three had significant injuries (two splenic injuries and one liver injury) diagnosed by clinical monitoring. The remaining patients - 30 (40.55%) - had at least one alteration in conventional tests. Of these group 27 (90%) had significant injuries and three (10%) minor injuries. The sensitivity of all three tests for screening considerable lesions was 90% and the specificity was 93%. The negative predictive value was 93% and the positive predictive value 89%. Conclusion: this research showed that all the three exams - chest X-ray, pelvis and FAST - are safe to lead with the blunt trauma if well used and associated with clinical examination. |
| Databáze: | MEDLINE |
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