Diagnostic Value of Sonography in Detecting Hemothorax and its Size in Blunt Trauma Patients
محل انتشار: مجله تروما، دوره: 26، شماره: 5
سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 95
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شناسه ملی سند علمی:
JR_TRAUM-26-5_006
تاریخ نمایه سازی: 13 مرداد 1402
چکیده مقاله:
Introduction: Hemothorax is one of the most prevalent complications after thoracic trauma. Extended Focused Assessment with Sonography for Trauma (e-FAST) is one of the diagnostic methods for hemothorax assessment. This study aimed to assess the diagnostic value of e-FAST in detecting hemothorax and its size in patients with blunt thoracic trauma. Methods: This cross-sectional diagnostic assessment was conducted on ۴۰۰ adult patients with blunt trauma who needed a chest CT scan. Chest X-ray (CXR), sonography, and chest CT scans were performed and hemothorax size was assessed with sonography and CT-scan. Sensitivity, specificity, and positive or negative predictive values of sonography and CXR were calculated. Hemothorax size on sonography was compared with the results of CT-scan as the gold standard. Results: The mean age of participants was ۴۳.۶۷±۲۲.۰۳. Based on CT scan findings, ۱۷۶ participants (۴۴%) had a hemothorax. The sensitivity, specificity, positive and negative predictive values, and correct classification rate of sonography were ۷۹%, ۹۹.۱%, ۹۸.۶%, ۸۵.۷%, and ۹۰.۲%, respectively. The accuracy of sonography was ۹۷.۱% for small hemothorax, ۴۶.۹% for medium hemothorax, and ۳۳.۳% for large hemothorax. Conclusion: Sonography is a sensitive diagnostic modality for the detection of hemothorax in multiple trauma patients but tends to underestimate moderate to large-sized hemothorax. Chest sonography can be an acceptable imaging modality if a CT scan is not available or desired. Keywords: Hemothorax, sonography, trauma, e-FAST.
کلیدواژه ها:
نویسندگان
Hamid Reza Talari
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Noushin Mousavi
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Masoumeh Abedzadeh- Kalahroudi
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Hossein Akbari
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Seyed Mohammad Hossein Tabatabai
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Niloofar Ashtari
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran