Ultrasound : Impact on diagnostic peritoneal lavage, abdominal computed tomography, and resident training. Commentary.
Annual Scientific Meeting and Postgraduate Course Program Southeastern Surgical Congress. Tampa, FL, USA, 1999/02/13.
Our objective was to determine the impact of abdominal ultrasound (US) on 1) the use of diagnostic peritoneal lavage (DPL) and abdominal computed tomography (ACT) for diagnosing blunt abdominal trauma (BAT) and on 2) surgical resident training.
The study design was a retrospective chart review.
Patients sustaining BAT who had ACT or DPL done during the 1-year period before the introduction of US (pre-US) were compared with those from a 1-year period beginning 6 months after US (post-US).
Data collected included diagnostic modality, demographic data, mortality, associated injuries, length of stay, mechanism of injury, and number of exploratory laparotomies.
Of 128 patients in the pre-US group, 35 patients (27% ; P<0.001) underwent DPL, 0 patients (0% ; P<0.001) received US, and 92 patients (72%) received ACT, with positive results for 31 patients (34%). Exploratory laparotomy was performed on 35 patients (27%) in the pre-US group.
Of 140 patients in the post-US group, 8 patients (6% ; P<0.001) underwent DPL, 120 patients (85% ; P<0.001) received US, and 108 patients (77%) received ACT, with positive results for 44 patients (42%). Exploratory laparotomy was performed on 22 patients (15% ; P<0.001) in the post-US group.
Resident experience with DPL before and after the introduction of US and availability of US for graduated residents was documented.
Chi-square and Fisher's exact test were used for statistical analysis. (...)
Mots-clés Pascal : Traumatisme, Abdomen, Diagnostic, Echographie, Indication, Association, Tomodensitométrie, Formation professionnelle, Chirurgie, Evaluation performance, Homme, Abdomen pathologie, Exploration ultrason, Radiodiagnostic, Imagerie médicale
Mots-clés Pascal anglais : Trauma, Abdomen, Diagnosis, Echography, Indication, Association, Computerized axial tomography, Occupational training, Surgery, Performance evaluation, Human, Abdominal disease, Sonography, Radiodiagnosis, Medical imagery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0346460
Code Inist : 002B24C05. Création : 14/12/1999.