Impact of the practice of "Extended Focused assessment with sonography for trauma" (e-FAST) on clinical decision in the emergency department [Acil serviste "Genişletilmiş acil travma ultrasonografisi" uygulamalari{dotless}ni{dotless}n klinik karar üzerine etkisi]

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dc.contributor.authorUz I.
dc.contributor.authorYürüktümen A.
dc.contributor.authorBoydak B.
dc.contributor.authorBayraktaroglu S.
dc.contributor.authorÖzçete E.
dc.contributor.authorÇevrim O.
dc.contributor.authorErsel M.
dc.contributor.authorKiyan S.
dc.date.accessioned2019-10-27T08:23:31Z
dc.date.available2019-10-27T08:23:31Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND We aimed to show the sensitivity of Extended Focused Assessment with Sonography for Trauma (e-FAST) for detection of pneumothorax, hemothorax and intraabdominal injury. We also investigated the relationship between e-FAST and need for invasive treatment. METHODS This study included patients who experienced multiple trauma. The emergency physician, who had no clinical information about the patient, performed e-FAST. Findings on a supine chest X-ray and invasive interventions were recorded. The results of abdomen and thorax computed tomography (CT) were reviewed (the size of the pneumothorax was scored). RESULTS Compared with CT, the sensitivities of e-FAST for intraabdominal injury and hemothorax were 54.5% and 71%, respectively. The patients with hemothorax and intraabdominal injuries were not identified with e-FAST, didn't need for invasive intervention. Pneumothorax diagnosis was established in 27 patients with e-FAST (sensitivity 81.8%) from among 33 (30.8%) pneumothorax patients. According to the grading on CT, pneumothoraces less than 1 cm in width and not exceeding the midcoronal line in length were not identified. e-FAST was positive for all patients performed with tube thoracostomy. CONCLUSION e-FAST can be used with high sensitivity for determination of pneumothorax requiring invasive procedure. It has low sensitivity in the diagnosis of intraabdominal injury and hemothorax; however, e-FAST can predict the need for invasive procedures.en_US
dc.identifier.doi10.5505/tjtes.2013.23326en_US
dc.identifier.endpage332en_US
dc.identifier.issn1306-696X
dc.identifier.issue4en_US
dc.identifier.pmid23884674en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage327en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2013.23326
dc.identifier.urihttps://hdl.handle.net/11454/26439
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergencyen_US
dc.subjectMultiple traumaen_US
dc.subjectPneumothoraxen_US
dc.subjectUltrasonographyen_US
dc.titleImpact of the practice of "Extended Focused assessment with sonography for trauma" (e-FAST) on clinical decision in the emergency department [Acil serviste "Genişletilmiş acil travma ultrasonografisi" uygulamalari{dotless}ni{dotless}n klinik karar üzerine etkisi]en_US
dc.typeArticleen_US

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