Senior general surgery residents can be trained to perform focused assessment with sonography for trauma patients accurately
| Autor: | De-Chuan Chan, Cheng-Jueng Chen, Sheng-Der Hsu, Jyh-Cherng Yu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal Injuries Wounds Nonpenetrating Sensitivity and Specificity 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Blunt medicine Humans Focused assessment with sonography for trauma Diagnostic Errors Retrospective Studies Ultrasonography Surgeons business.industry General surgery Internship and Residency 030208 emergency & critical care medicine General Medicine Middle Aged medicine.disease Abdominal trauma General Surgery Female Surgery Clinical Competence Medical emergency Emergency Service Hospital business Free fluid |
| Zdroj: | Surgery Today. 47:1443-1449 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-017-1535-5 |
| Popis: | Researchers studying trauma have found that physicians are able to perform a focused assessment with sonography for trauma (FAST) with minimal training and achieve ideal accuracy. However, there are currently no consensus or standard guidelines regarding the performance of this assessment. The aim of our study was to clarify the value of FAST performed by well-qualified senior general surgery residents in cases of suspected blunt abdominal trauma, which presents an important diagnostic problem in emergency departments.This was a retrospective study in the emergency department (ED) of our hospital performed from January 2011 to September 2013. Patients were included if they (1) had undergone a FAST examination performed by qualified residents and (2) had received subsequent formal radiographic or surgical evaluations. The results were compared against subsequent surgical findings or formal Department of Radiology reference standards.Among the 438 patients enrolled, false-negative results were obtained in 8 and false-positive results in 5. Only one patient was missed and required laparotomy to repair a small intestine perforation. The sensitivity and specificity were 87 and 99%, respectively; the accuracy was 97%.Senior general surgery residents can be trained to perform accurate FAST examinations on trauma patients. |
| Databáze: | OpenAIRE |
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