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Journal of the Korean Society of Traumatology 2006;19(2):135-142.
Usefulness of FAST for Evaluation of Blunt Abdominal Trauma Patients
Yong Sik Chu, Ok Jun Kim, Sung Uk Choi, Jung Han Lee
Department of Emergency, Pochon CHA University, Korea. cysdoc@naver.com
복부둔상 환자의 혈복강 진단에 있어 FAST의 유용성에 대한 고찰
추용식.김옥준.최성욱.이정한
포천중문의과대학교 의과대학 분당차병원 응급의학과
Abstract
PURPOSE
We planned to determine the diagnostic capability of focused assessment with sonography for trauma (FAST) in cases of blunt abdominal injury (BAI).
METHODS
A retrospective analysis of FAST sheets was performed from April 2002 to December 2004. During the study period, 135 BAI patients were evaluated with FAST at the Emergency Department of Bundang CHA Hospital. Of this group, twenty-eight patients were excluded, leaving 107 patients for analysis. Abdomen CT (computerized tomography) or exploratory laparotomy confirmed the presence of hemoperitoneum. At the secondary survey, patients underwent a three-view FAST examination (LogicQ; General Electric, Waukesha, USA) by an emergency physician, followed within 2 hours by an abdomen CT or exploratory laparotomy. The FAST examination was considered positive if it demonstrated evidence of free intra-abdominal fluid.
RESULTS
There were 45 true-positive FAST examination, 57 true-negatives, 1 false-positive, and 4 false negatives (sensitivity 91.8%, specificity 98.3%, positive predictive value 97.8%, negative predictive value 93.4%). The area under the ROC curve was 0.951 for the FAST examination.
CONCLUSION
FAST is a highly reliable method for screening patients suspected of having BAI for the presence or absence of hemoperitoneum.
Key Words: FAST; Blunt abdominal trauma; Hemoperitoneum; Abdominal CT; Exploratory laparotomy


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