Artikel
Impact of abdominal follow-up sonography in trauma patients without abdominal parenchymal organ lesion or free fluid in whole body computer tomography
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Veröffentlicht: | 24. April 2015 |
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Introduction: Patients suffering from severe blunt abdominal trauma are challenging because of their concordant need for accurate diagnostic imaging and fast therapeutic actions. Whole body computer tomography (WBCT) represents the gold standard in the trauma room diagnostic setting. The aim of our study was to investigate the impact and therapy relevance of abdominal follow-up sonography (AFS) as a part of the tertiary trauma survey (TTS) in patients without abdominal parenchymal organ lesions or free abdominal fluid in initial performed WBCT.
Material and methods: In this retrospective analysis between January 2008 and December 2012, all adult patients without abdominal parenchymal organ lesions or free intraabdominal fluid in initial performed WBCT, who received AFS within 24 hours after trauma, were included.
Results: 316 patients (28%) were analysed (ISS 10±8) according to the inclusion criteria. Overall, only small amounts of free intraabdominal fluid were detected in AFS in 3 patients (0.9%); all remained without any therapeutic consequences. None of the patients died due to intraabdominal bleeding.
Conclusion: AFS as part of the TTS did not show additional benefits and had no impact on further treatment in patients without abdominal parenchymal organ lesions or free intraabdominal fluid in initial performed WBCT. We conclude that AFS is not routinely required but should be performed if clinical or laboratory indicated because of its fast and less invasive character.