Focused assessment with sonography for trauma in patients with confirmed liver lesions

Solveig Kärk Nielsen; C Ewertsen; L B Svendsen; J G Hillingsø; M B Nielsen

Focused assessment with sonography for trauma in patients with confirmed liver lesions

Solveig Kärk Nielsen, C Ewertsen, L B Svendsen, J G Hillingsø, M B Nielsen

3 Citations (Scopus)

Abstract

Background and Aims: The objective was to determine the sensitivity and specificity of Focused Assessment with Sonography for Trauma (FAST) in patients with confirmed liver lesions and also to compare results from surgeons trained in FAST with results from radiologists trained in general abdominal ultrasound as part of the specialist training. Explorative laparotomy or CT served as gold standard. Materials and Methods: This retrospective study included all patients admitted to our institution from 2003 to 2010 registered with the diagnosis "Injury of the liver or gallbladder". Of 405 patients, 135 patients were eligible for analysis. Seventy-two patients were examined by ra-diologists and 63 by surgeons. Results: We found FAST to have a sensitivity, specificity, PPV, and NPV of 79.6%, 100%, 100%, and 68.9%. There was no statistically significant difference between FAST performed by radiologists and surgeons trained in FAST. Conclusion: FAST remains an important screening tool in abdominal trauma including liver lesions, and can be performed at a satisfactory level by surgeons trained in the FAST procedure only.

Original language	English
Journal	Scandinavian Journal of Surgery
Volume	101
Issue number	4
Pages (from-to)	287-91
Number of pages	5
ISSN	1457-4969
Publication status	Published - 2012

Cite this

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title = "Focused assessment with sonography for trauma in patients with confirmed liver lesions",

abstract = "Background and Aims: The objective was to determine the sensitivity and specificity of Focused Assessment with Sonography for Trauma (FAST) in patients with confirmed liver lesions and also to compare results from surgeons trained in FAST with results from radiologists trained in general abdominal ultrasound as part of the specialist training. Explorative laparotomy or CT served as gold standard. Materials and Methods: This retrospective study included all patients admitted to our institution from 2003 to 2010 registered with the diagnosis {"}Injury of the liver or gallbladder{"}. Of 405 patients, 135 patients were eligible for analysis. Seventy-two patients were examined by ra-diologists and 63 by surgeons. Results: We found FAST to have a sensitivity, specificity, PPV, and NPV of 79.6%, 100%, 100%, and 68.9%. There was no statistically significant difference between FAST performed by radiologists and surgeons trained in FAST. Conclusion: FAST remains an important screening tool in abdominal trauma including liver lesions, and can be performed at a satisfactory level by surgeons trained in the FAST procedure only.",

author = "Nielsen, {Solveig K{\"a}rk} and C Ewertsen and Svendsen, {L B} and Hillings{\o}, {J G} and Nielsen, {M B}",

year = "2012",

language = "English",

volume = "101",

pages = "287--91",

journal = "Scandinavian Journal of Surgery",

issn = "1457-4969",

publisher = "SAGE Publications",

number = "4",

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TY - JOUR

T1 - Focused assessment with sonography for trauma in patients with confirmed liver lesions

AU - Nielsen, Solveig Kärk

AU - Ewertsen, C

AU - Svendsen, L B

AU - Hillingsø, J G

AU - Nielsen, M B

PY - 2012

Y1 - 2012

N2 - Background and Aims: The objective was to determine the sensitivity and specificity of Focused Assessment with Sonography for Trauma (FAST) in patients with confirmed liver lesions and also to compare results from surgeons trained in FAST with results from radiologists trained in general abdominal ultrasound as part of the specialist training. Explorative laparotomy or CT served as gold standard. Materials and Methods: This retrospective study included all patients admitted to our institution from 2003 to 2010 registered with the diagnosis "Injury of the liver or gallbladder". Of 405 patients, 135 patients were eligible for analysis. Seventy-two patients were examined by ra-diologists and 63 by surgeons. Results: We found FAST to have a sensitivity, specificity, PPV, and NPV of 79.6%, 100%, 100%, and 68.9%. There was no statistically significant difference between FAST performed by radiologists and surgeons trained in FAST. Conclusion: FAST remains an important screening tool in abdominal trauma including liver lesions, and can be performed at a satisfactory level by surgeons trained in the FAST procedure only.

AB - Background and Aims: The objective was to determine the sensitivity and specificity of Focused Assessment with Sonography for Trauma (FAST) in patients with confirmed liver lesions and also to compare results from surgeons trained in FAST with results from radiologists trained in general abdominal ultrasound as part of the specialist training. Explorative laparotomy or CT served as gold standard. Materials and Methods: This retrospective study included all patients admitted to our institution from 2003 to 2010 registered with the diagnosis "Injury of the liver or gallbladder". Of 405 patients, 135 patients were eligible for analysis. Seventy-two patients were examined by ra-diologists and 63 by surgeons. Results: We found FAST to have a sensitivity, specificity, PPV, and NPV of 79.6%, 100%, 100%, and 68.9%. There was no statistically significant difference between FAST performed by radiologists and surgeons trained in FAST. Conclusion: FAST remains an important screening tool in abdominal trauma including liver lesions, and can be performed at a satisfactory level by surgeons trained in the FAST procedure only.

UR - http://www.ncbi.nlm.nih.gov/pubmed/23238506

M3 - Journal article

SN - 1457-4969

VL - 101

SP - 287

EP - 291

JO - Scandinavian Journal of Surgery

JF - Scandinavian Journal of Surgery

IS - 4

ER -

Focused assessment with sonography for trauma in patients with confirmed liver lesions

Abstract

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