کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10692007 | 1019616 | 2014 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Comparison of the Accuracy and Reproducibility of Focused Abdominal Sonography for Trauma Performed by Emergency Medicine and Radiology Residents
ترجمه فارسی عنوان
مقایسه دقت و تکرارپذیری سونوگرافی متمرکز شکم در تروما که توسط کارشناس اورژانس و رادیو انجام شده است
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کلمات کلیدی
آسیب شکمی، سونوگرافی، توموگرافی کامپیوتری، طب اورژانس، رادیولوژی،
موضوعات مرتبط
مهندسی و علوم پایه
فیزیک و نجوم
آکوستیک و فرا صوت
چکیده انگلیسی
We compared the diagnostic accuracy of emergency medicine residents (EMRs) and radiology residents (RRs) in performing focused abdominal sonography for trauma (FAST). The cohort in this prospective study comprised 200 unstable patients (163 males and 37 females; mean ± standard deviation of age, 34.3 ± 16.4 y) who presented with trauma. These patients were evaluated using FAST, first by EMRs and subsequently by RRs. Patients with positive FAST results underwent further diagnostic procedures such as computed tomography, diagnostic peritoneal lavage and laparotomy. Those with negative FAST results underwent clinical follow-up for 72 h until their condition deteriorated or they were discharged. Sensitivity, specificity, positive and negative predictive values and accuracy in evaluating free intraperitoneal fluid were 80%, 95%, 57%, 98% and 94% when FAST was performed by EMRs and 86%, 95%, 59%, 98% and 94% when FAST was performed by RRs. The level of agreement between EMRs and RRs was moderate (κ = 0.525). FAST is a useful screening tool for initial assessment of free abdominal fluid in patients with trauma. Our results indicate that EMRs can perform sonography on trauma patients as successfully as RRs.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Ultrasound in Medicine & Biology - Volume 40, Issue 7, July 2014, Pages 1476-1482
Journal: Ultrasound in Medicine & Biology - Volume 40, Issue 7, July 2014, Pages 1476-1482
نویسندگان
Ali Arhami Dolatabadi, Afshin Amini, Hamidreza Hatamabadi, Parisa Mohammadi, Sara Faghihi-Kashani, Hojjat Derakhshanfar, Seyed Morteza Tabatabaee, Mehrdad Moghimi, Ali Kabir,