Focused Abdominal Sonography for Trauma (FAST) in Children with Blunt Abdominal Trauma
- 1 May 2000
- journal article
- research article
- Published by Wolters Kluwer Health
- Vol. 48 (5), 902-906
- https://doi.org/10.1097/00005373-200005000-00014
Abstract
Focused abdominal sonography for trauma (FAST) has been well reported in adults, but its applicability in children is less well established. We decided to test the hypothesis that FAST and computed tomography (CT) are equivalent imaging studies in the setting of pediatric blunt abdominal trauma. One hundred seven hemodynamically stable children undergoing CT for blunt abdominal trauma were prospectively investigated using FAST. The ability of FAST to predict injury by detecting free intraperitoneal fluid was compared with CT as the imaging standard. Thirty-two patients had CT documented injuries. There were no late injuries missed by CT. FAST detected free fluid in 12 patients. Ten patients had solid organ injury but no free fluid and, thus, were not detected by FAST. The sensitivity of FAST relative to CT was only 0.55 and the negative predictive value was only 0.50. FAST has insufficient sensitivity and negative predictive value to be used as a screening imaging test in hemodynamically stable children with blunt abdominal trauma.Keywords
This publication has 16 references indexed in Scilit:
- Comparison of computed tomography and ultrasonographic imaging in the assessment of blunt abdominal trauma in childrenBritish Journal of Surgery, 1997
- Ultrasound Based Key Clinical Pathway Reduces the use of Hospital Resources for the Evaluation of Blunt Abdominal TraumaPublished by Wolters Kluwer Health ,1997
- Ultrasound Evaluation of Blunt Abdominal TraumaPublished by Wolters Kluwer Health ,1997
- Hypotension after Blunt Abdominal TraumaPublished by Wolters Kluwer Health ,1996
- A Prospective Evaluation of Abdominal Ultrasound in Blunt TraumaPublished by Wolters Kluwer Health ,1996
- Can ultrasonography replace computed tomography in the initial assessment of children with blunt abdominal trauma?Journal of Pediatric Surgery, 1996
- Ultrasound, What Every Trauma Surgeon Should KnowPublished by Wolters Kluwer Health ,1996
- Abdominal Ultrasonography in TraumaSurgical Clinics of North America, 1995
- Commentary: The role of sonography in the initial evaluation of children after blunt abdominal traumaPediatric Radiology, 1993
- PROSPECTIVE EVALUATION OF SURGEONS' USE OF ULTRASOUND IN THE EVALUATION OF TRAUMA PATIENTSPublished by Wolters Kluwer Health ,1993