<ArticleSet>
<Article>
<Journal>
<PublisherName>Trauma Research Center</PublisherName>
<JournalTitle>Bulletin of Emergency And Trauma</JournalTitle>
<Issn>2322-2522</Issn>
<Volume>6</Volume>
<Issue>1 JAN</Issue>
<PubDate>
<Year>2018</Year>
<Month>01</Month>
<Day>01</Day>
</PubDate>
</Journal>
<ArticleTitle>The Predictive Value of Repeated Abdominal Ultrasonography in Patients with Multiple Trauma and Decreased Level of Consciousness: The Experience of a Resource-Limited Centre</ArticleTitle>
<FirstPage>26</FirstPage>
<LastPage>30</LastPage>
<Language>EN</Language>
<AuthorList>
<Author>
<FirstName>Shahram</FirstName>
<LastName>Paydar</LastName>
<Affiliation>. paydarsh@gmail.com</Affiliation>
</Author>
<Author>
<FirstName>Behnam</FirstName>
<LastName>Dalfardi</LastName>
</Author>
<Author>
<FirstName>Bardia</FirstName>
<LastName>Zangbar-Sabegh</LastName>
</Author>
<Author>
<FirstName>Hossein</FirstName>
<LastName>Heidaripour</LastName>
</Author>
<Author>
<FirstName>Leila</FirstName>
<LastName>Pourandi</LastName>
</Author>
<Author>
<FirstName>Alireza</FirstName>
<LastName>Shakibafard</LastName>
</Author>
<Author>
<FirstName>Mehdi</FirstName>
<LastName>Tahmtan</LastName>
</Author>
<Author>
<FirstName>Leila</FirstName>
<LastName>Shayan</LastName>
</Author>
<Author>
<FirstName>Mohammad Hadi</FirstName>
<LastName>Niakan</LastName>
</Author>
</AuthorList>
<History>
<PubDate>
<Year>2017</Year>
<Month>02</Month>
<Day>05</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>10</Month>
<Day>10</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>10</Month>
<Day>03</Day>
</PubDate>
</History>
<Abstract>Objective: To determine the predictive value of repeated abdominal ultrasonography in patients with multiple trauma and decreased level of consciousness (LOC).Methods: This prospective cross-sectional study was conducted over a six-month period at Shahid Rajaee Trauma Hospital, Shiraz, Iran. We included hemodynamically stable blunt abdominal trauma patients with a decreased LOC (Glasgow Coma Scale ≤ 13) who were referred to the neurosurgery ICU ward. Included cases underwent 1 contrast-enhanced CT scan and two-time ultrasonographic study of the abdomen with an interval of 48 hours. The diagnostic accuracy of the ultrasonography was determined according to the CT-scan results.Results: Overall 80 patients with mean age of 37.75 ± 18.67 years were included. There were 17 (21.3%) women and 63 (78.8%) men among the patients. Compared with the CT-Scan, the first ultrasonography showed a sensitivity of 60%, specificity of 80%, PPV of 16.60%, NPV of 96.80%, and a diagnostic accuracy of 70%. The same values for the second ultrasonographic study were 80%, 79%, 20%, 98%, and 79%, respectively. In 4 (5%) patients whose first ultrasonography and CT scan results were negative, the second ultrasonography was positive for injury.Conclusion: In patients with blunt trauma to the abdomen, when the only indication of abdominal CT scan is a decreased LOC, two ultrasonographic studies can replace a CT imaging.</Abstract>
<ObjectList>
<Object>
<Param>Blunt Injury</Param>
</Object>
<Object>
<Param>Computed tomography</Param>
</Object>
<Object>
<Param>Ultrasonography</Param>
</Object>
<Object>
<Param>Traumatic Brain Injury</Param>
</Object>
<Object>
<Param>Sensitivity</Param>
</Object>
<Object>
<Param>Specificity</Param>
</Object>
</ObjectList>
</Article>
</ArticleSet>