Indian Journal of Surgery

, Volume 77, Supplement 2, pp 393–397 | Cite as

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Blunt Trauma Abdomen—A Prospective Study

  • Subodh Kumar
  • Virinder Kumar Bansal
  • Dillip Kumar Muduly
  • Pawan Sharma
  • Mahesh C. Misra
  • Sunil Chumber
  • Saraman Singh
  • D. N. Bhardwaj
Original Article

Abstract

Focused assessment with sonography for trauma (FAST) is a limited ultrasound examination, primarily aimed at the identification of the presence of free intraperitoneal or pericardial fluid. In the context of blunt trauma abdomen (BTA), free fluid is usually due to hemorrhage, bowel contents, or both; contributes towards the timely diagnosis of potentially life-threatening hemorrhage; and is a decision-making tool to help determine the need for further evaluation or operative intervention. Fifty patients with blunt trauma abdomen were evaluated prospectively with FAST. The findings of FAST were compared with contrast-enhanced computed tomography (CECT), laparotomy, and autopsy. Any free fluid in the abdomen was presumed to be hemoperitoneum. Sonographic findings of intra-abdominal free fluid were confirmed by CECT, laparotomy, or autopsy wherever indicated. In comparing with CECT scan, FAST had a sensitivity, specificity, and accuracy of 77.27, 100, and 79.16 %, respectively, in the detection of free fluid. When compared with surgical findings, it had a sensitivity, specificity, and accuracy of 94.44, 50, and 90 %, respectively. The sensitivity of FAST was 75 % in determining free fluid in patients who died when compared with autopsy findings. Overall sensitivity, specificity, and accuracy of FAST were 80.43, 75 and 80 %, respectively, for the detection of free fluid in the abdomen. From this study, we can safely conclude that FAST is a rapid, reliable, and feasible investigation in patients with BTA, and it can be performed easily, safely, and quickly in the emergency room with a reasonable sensitivity, specificity, and accuracy. It helps in the initial triage of patients for assessing the need for urgent surgery.

Keywords

FAST BTA CECT scan Hemoperitoneum 

Notes

Acknowledgments

No financial grant has been received for this study.

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Copyright information

© Association of Surgeons of India 2013

Authors and Affiliations

  • Subodh Kumar
    • 1
  • Virinder Kumar Bansal
    • 1
    • 5
  • Dillip Kumar Muduly
    • 1
  • Pawan Sharma
    • 1
  • Mahesh C. Misra
    • 1
  • Sunil Chumber
    • 2
  • Saraman Singh
    • 3
  • D. N. Bhardwaj
    • 4
  1. 1.Department of SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of Laboratory MedicineAll India Institute of Medical SciencesNew DelhiIndia
  4. 4.Department of Forensic MedicineAll India Institute of Medical SciencesNew DelhiIndia
  5. 5.Department of Surgical DisciplinesAll India Institute of Medical SciencesNew DelhiIndia

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