Ignite Creation Date:
2024-05-06 @ 4:11 PM
Last Modification Date:
2024-10-26 @ 2:05 PM
Study NCT ID:
NCT04896463
Status:
UNKNOWN
Last Update Posted:
2021-05-21
First Post:
2021-05-18
Brief Title:
Comparative Study of FAST Versus Multidetector CT Scan of the Abdomen in Patients With Abdominal Trauma
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Comparative Study of FAST Focussed Assessment With Sonography in Trauma Versus Multidetector Computed Tomography CT Scan of the Abdomen in Patients With Abdominal Trauma
Status:
UNKNOWN
Status Verified Date:
2021-05
Last Known Status:
NOT_YET_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of the study is to evaluate the diagnostic accuracy of FAST as regards sensitivity and specificity as an initial assessment for patients with abdominal trauma compared to that of the gold standard multidetector CT scan of the abdomen
Detailed Description:
Trauma is a major health problem in every country regardless of the level of socioeconomic development associated with high morbidity and mortality as it is still the most frequent cause of death in the first four decades of lifeAccording to the World Health Organization more than nine people die per minute victimized by trauma It is costy on the health services more than other diseases with a rate upto 12
In Egypt the mortality from road traffic crashes is about 12000 victims per year with fatality rate of about 42 deaths per 100 000 population Majority 48 of them are passengers of motor vehicles Car accidents in Egypt rose by 178 in 2019 with 9992 compared to 8480 in 2018 that is announced by The Central Agency For Public Mobilization and Statistics CAPMAS
The abdomen is the third most common injured region with surgery required in about 25 of civilian cases
Abdominal trauma is traditionally classified as either blunt or penetrating stab or gunshot wounds which can usually be diagnosed easily and reliably whereas blunt abdominal trauma is often missed because clinical signs are less obviousBlunt abdominal injuries predominate in rural areas while penetrating ones are more frequent in urban settings
In order to minimize mortality in cases of abdominal trauma risk factors for mortality needed to be systematically identified and studied In recent years studies have identified a number of such risk factors including sex the length of the interval between abdominal injury and surgery shock at the time of admission and cranial injuries
So appropriate care of the trauma patient entails a multidisciplinary effort that requires speed efficiencyand proper coordination of the initial care team to make fast rational decisionsIn such patient focussed abdominal ultrasonograpghy FAST often is the initial imaging examination
FAST is readily available low cost repeatable noninvasive bedside method requires minimal preparation time and may be performed with mobile equipment that allows greater flexibility in patient positioning than is possible with other imaging modalities It is also effective in depicting abnormally large intraperitoneal collections of free fluid which are indirect evidence of a solid organ injury that requires emergency laparotomy
However not all clinically important abdominal injuries have associated hemoperitoneum such as those to the bowel diaphragm and mesentery So an initial survey with FAST is often followed by a more thorough examination with multidetector computed tomography CT which became the imaging modality of choice in the late 1990sIt is a useful sen e method to detect intraperitoneal free air and intraperitoneal fluiddelineate the extent of solid organ injurydetect retroperitoneal injuries and help in the decision of conservative nonsurgical therapyBut the adverse effects of it are that it is time consuming procedure and not advisable in hemodynamically unstable patients moreover it is expensive and carries high risk of radiation exposure when repeated
In Egypt the mortality from road traffic crashes is about 12000 victims per year with fatality rate of about 42 deaths per 100 000 population Majority 48 of them are passengers of motor vehicles Car accidents in Egypt rose by 178 in 2019 with 9992 compared to 8480 in 2018 that is announced by The Central Agency For Public Mobilization and Statistics CAPMAS
The abdomen is the third most common injured region with surgery required in about 25 of civilian cases
Abdominal trauma is traditionally classified as either blunt or penetrating stab or gunshot wounds which can usually be diagnosed easily and reliably whereas blunt abdominal trauma is often missed because clinical signs are less obviousBlunt abdominal injuries predominate in rural areas while penetrating ones are more frequent in urban settings
In order to minimize mortality in cases of abdominal trauma risk factors for mortality needed to be systematically identified and studied In recent years studies have identified a number of such risk factors including sex the length of the interval between abdominal injury and surgery shock at the time of admission and cranial injuries
So appropriate care of the trauma patient entails a multidisciplinary effort that requires speed efficiencyand proper coordination of the initial care team to make fast rational decisionsIn such patient focussed abdominal ultrasonograpghy FAST often is the initial imaging examination
FAST is readily available low cost repeatable noninvasive bedside method requires minimal preparation time and may be performed with mobile equipment that allows greater flexibility in patient positioning than is possible with other imaging modalities It is also effective in depicting abnormally large intraperitoneal collections of free fluid which are indirect evidence of a solid organ injury that requires emergency laparotomy
However not all clinically important abdominal injuries have associated hemoperitoneum such as those to the bowel diaphragm and mesentery So an initial survey with FAST is often followed by a more thorough examination with multidetector computed tomography CT which became the imaging modality of choice in the late 1990sIt is a useful sen e method to detect intraperitoneal free air and intraperitoneal fluiddelineate the extent of solid organ injurydetect retroperitoneal injuries and help in the decision of conservative nonsurgical therapyBut the adverse effects of it are that it is time consuming procedure and not advisable in hemodynamically unstable patients moreover it is expensive and carries high risk of radiation exposure when repeated
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None