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2016, Number 4

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Revista Cubana de Cirugía 2016; 55 (4)

The ultrasound as an indicator of absence of abdominal injury in trauma

Arrué GA, Acosta LJ, Tarafa RY, Cabrera BAM

Language: Spanish
References: 22
Page: 296-303
PDF size: 104.22 Kb.


ABSTRACT

Introduction: The abdominal trauma is an important problem in emergency services and the ultrasound is a widely used diagnostic method nowadays.
Objective: To establish the diagnostic usefulness of ultrasound scan to predict absence of injury in patients with abdominal trauma.
Method: Prospective and observational research study was made in 68 patients in "Dr. Luis Diaz Soto" military hospital from January to December 2015. An initial ultrasound was performed on these patients for injure location. The secondary diagnostic exams after the first ultrasound scan and how long they lasted were described.
Results: In the group, 77.2 % of the patients showed negative results in the initial ultrasound exam whereas 14 patients needed another diagnostic procedure. The evolutionary ultrasound was the one providing more indications after 6 hours of the first exam. Only two patients showed evidence of abdominal injury for a sensitivity index of 88%, 100% specificity, 96.2 % negative predictive value and 97 % effectiveness.
Conclusions: The combination of negative findings in the initial ultrasound and the favorable clinical progress during 12 to 24 hours virtually discard the existence of abdominal injure from trauma.


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