Assessment of urinary dipstick in patients admitted to an ED for blunt abdominal trauma

Moustafa, Farès; Loze, C; Pereira, Bruno M.; Vaz, Marie-Aude; Caumon, L; Perrier, Christophe; Schmidt, Jeannot

doi:10.1016/j.ajem.2016.12.047

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…Others suggested that it can predict IAIs after a BAT in both adults and pediatrics [19,34], or at least can safely exclude IAIs [35]. Some authors reported low sensitivity and specificity of hematuria in the detection of IAIs [36].…”

Section: Discussionmentioning

confidence: 99%

Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

Abd-erRazik¹,

Hamid²,

El-Shinawi³

et al. 2023

Cureus

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Section: Discussionmentioning

confidence: 99%

Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

Abd-erRazik¹,

Hamid²,

El-Shinawi³

et al. 2023

Cureus

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“…Also, similar to the results of the present study, no significant difference was found in the accuracy of the two methods. suggested that the dipstick test can be used to rule out microhematuria due to its high specificity.Similar to the present study, Moustafa et al(19) evaluated the efficacy of the urine dipstick test compared with abdominal CT scan in adult patients admitted to ED due to BAT. Results of this retrospective, multicenter cohort study showed that of the 100 patients studied, this test had a sensitivity of 72.2% and specificity of 53.1%.…”

mentioning

confidence: 68%

Comparing Urine Analysis and Urine Dipstick Tests Used in the Diagnosis of Renal Injury in Children With Blunt Abdominal Trauma in Shiraz, Iran

Sadegh¹,

Mohebinejad²,

Mouavi-Roknabadi³

et al. 2021

Electron. physician

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Background: Blunt abdominal trauma (BAT) is the most common cause of abdominal injury and is responsible for renal injury in children. Urine dipstick is used in various clinical conditions, and its use in the diagnosis of microscopic hematuria is very common in adults, but its efficacy in children with BAT is unclear. Objective: To determine the accuracy of urine dipstick test and compare it with microscopic urine analysis (UA) in predicting urinary system injury. Methods: This prospective cross-sectional study was conducted on children with BAT who were referred to the Acute Care II of the Emergency Medicine Department of Shiraz Namazi Hospital in south of Iran (April-October 2018). The results of the urine dipstick test were compared with the results of UA, abdominal computed tomography (CT) scan as the gold standard, and the point-of-care ultrasound (POCUS). The diagnostic tests (sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and accuracy) were calculated. Results: A total of 380 patients were enrolled, with a mean ± standard deviation age of 6.3 ± 3.45 years. We obtained a sensitivity, specificity, and accuracy of 71.43% (95% CI, 41.90-91.61), 96.99% (95% CI, 94.69-98.49), and 96.05% (95% CI, 93.57-97.77), respectively, with a negative predictive value (NPV) of 98.89% (95% CI, 97.48-99.51) for the dipstick test in comparison with UA. In comparing the results of the dipstick and UA tests with CT scan, no difference was found in terms of sensitivity (P = 0.35), specificity (P = 0.65), accuracy (P = 0.72), and area under the curve (P = 0.97). Conclusion: Due to no difference in diagnostic values between the urine dipstick and UA tests, dipstick can be considered as an alternative means of UA in the management algorithm of pediatric BAT. Also, with higher specificity and NPV of the dipstick test in comparison with the UA test, based on the negative results of dipstick, hematuria can be ruled out in children with BAT.

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“…A negative urinalysis is associated with a low likelihood of intra‐abdominal injury after blunt abdominal trauma . However, the diagnostic value of urinalysis in the prediction of blunt traumatic intra‐abdominal injuries is low and should be considered an adjunctive diagnostic tool, in conjunction with other sources such as clinical findings and imaging …”

Section: Discussionmentioning

confidence: 99%

Changes in admission laboratory tests in patients with maxillofacial fractures and the influence of dento‐alveolar trauma

Rodrigues

Leite‐de‐Lima

Landes³

et al. 2020

Dental Traumatology

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Background/Aim: There are few studies in the literature evaluating possible alterations in laboratory tests in patients with maxillofacial fractures. The aim of this study was to analyze the changes in admission laboratory tests of patients with maxillofacial fractures with indications for surgical treatment, including the influence of dento-alveolar trauma.Material and Methods: Data from complete blood counts, blood coagulation tests, blood chemistries, and urinalysis results were obtained. The occurrence of concomitant dento-alveolar trauma was noted. The medical records were also re-evaluated later to verify the treatment outcome and the occurrence of complications. Statistical analyses were performed using the likelihood-ratio test to verify significant changes in the evaluated parameters (P ≤ .050). Results:There was a prevalence of males (78%) with a mean age of 35.9 years. Lower erythrocyte counts, hemoglobin levels, and/or hematocrit were observed in males with associated fractures and with simultaneous dento-alveolar fractures. Higher mean neutrophil, segmented neutrophil, and lymphocyte counts were observed in patients with simultaneous dento-alveolar trauma. A higher mean activated partial thromboplastin time (aPTT) ratio was also observed. Lower potassium levels were observed for patients in the fourth decade of life. Higher leukocyte counts not associated with trauma were observed in the urinalysis results of females and in the group of patients aged 20 or younger. Verification of treatment outcome showed two cases of infections and two cases that needed re-operation after mandible fractures.These four cases showed no significant changes in laboratory tests regarding the predisposition for complications. Conclusion:Patients with maxillofacial fractures had neutrophilia, increased aPTT, and non-traumatic leukocyturia. There was an influence of associated fractures and dento-alveolar trauma on the decrease in red blood cell parameters, neutrophilia, and lymphocytosis and of age on hypokalemia. K E Y W O R D Sblood cell count, blood coagulation tests, chemistry, clinical, dento-alveolar trauma, maxillofacial injuries, urinalysis

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Assessment of urinary dipstick in patients admitted to an ED for blunt abdominal trauma

Cited by 7 publications

References 17 publications

Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

Comparing Urine Analysis and Urine Dipstick Tests Used in the Diagnosis of Renal Injury in Children With Blunt Abdominal Trauma in Shiraz, Iran

Changes in admission laboratory tests in patients with maxillofacial fractures and the influence of dento‐alveolar trauma

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