Peritoneal Lavage in Blunt Abdominal Trauma

Meo, Giuseppe; Rivetti, R

doi:10.1177/004947558901900210

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…5,6,[9][10][11]16,18,21,22,[27][28][29]31,40,52 Sensitivity is reported to range from 73% to 100%. 9,10,13,15,[17][18][19]21,23,24,27,29,31,32,34,35,38,40,50,53 Specificity is reported to range from 58% to 100% and is reflective of the variation in criteria for a positive test. 3,5,6,7,[9][10][11][12][13][15][16][17][18][19][20][21][22]…”

Section: Discussionmentioning

confidence: 99%

“…9,10,13,15,[17][18][19]21,23,24,27,29,31,32,34,35,38,40,50,53 Specificity is reported to range from 58% to 100% and is reflective of the variation in criteria for a positive test. 3,5,6,7,[9][10][11][12][13][15][16][17][18][19][20][21][22][23][24][27][28][29][30][31][32]34,35,38,40,50,[52][53][54] Positive and ...…”

Section: Discussionmentioning

confidence: 99%

“…There is no consensus on its diagnostic accuracy and there are no reported complications of this method. Studies [18][19][20]27,28,35,45,50 regularly report sensitivity, specificity, accuracy, and positive and negative predictive values. Accuracy is reported to range from 86% to 100%.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Evaluation of Patients with Blunt Abdominal Trauma: A Decision Analysis

Brown

Dunn

Wilson

2000

Academic Emergency Medicine

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Abstract. Objectives: Using decision analysis, to compare the expected utility (EU) of diagnostic peritoneal lavage (DPL), computed tomography (CT), and ultrasonography (US) to determine the optimal modality for the evaluation of blunt abdominal trauma (BAT) in hemodynamically stable adults. Methods: Data points for the decision analysis were obtained from three sources: 1) prevalence of BAT and the sensitivity and specificity of each diagnostic modality were determined through a criteria-based review of the literature; 2) rate of BAT necessitating immediate intervention, perioperative complication rate, and operative mortality rate were calculated using data from the authors' institution's trauma registry; and 3) outcome utilities were determined by telephone survey of adults in a random sample of households in the region. The decision tree was constructed and evaluated in standard fashion. For each diagnostic modality, the authors calculated the EU using the minimum, mean, and maximum sensitivity and specificity across a range of prevalence. Mean outcome utilities were used for each branch of the tree when calculating the EU. Results: The EU of CT was consistently lower than the EUs of DPL and US at all levels of prevalence. However, the rank order of the EUs of US and DPL varied with the prevalence of BAT. When the prevalence was <30%, the EU of US was higher than that for DPL. When the prevalence was 30-40%, the EUs were similar. When the prevalence was >40%, the EU of US was less than that of DPL. Conclusions: Among institutions operating under constraints similar to those used in this model, the optimal diagnostic modality for the evaluation of BAT can be determined based on the sensitivity and specificity of the modality at their institution and the prevalence of BAT in their patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diagnostic Evaluation of Patients with Blunt Abdominal Trauma: A Decision Analysis

Brown

Dunn

Wilson

2000

Academic Emergency Medicine

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“…In case of faintly blood-tinged lavage, the cause can be minor injuries that do not require survey. To reduce the risk of false-positive findings, a red blood cell count greater than 50,000-70,000 per mm 3 is suggested as a criterion for operation [16].…”

Section: Surgery Of Thyroidmentioning

confidence: 99%

Primary Surgery in Rural Areas of Southern Sudan

Cometto¹,

Belgrano

Bonis

et al. 2012

World j. surg.

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This experience in southern Sudan demonstrates that surgical services can be established utilizing simple facilities and equipment and employing local personnel selected and trained on-the-job by teams composed of a consultant surgeon, anesthetist, and scrub nurse. Delegation of tasks relating to anesthesia and surgery to midlevel health providers is an appropriate approach in developing countries facing shortage and maldistribution of more qualified health workers.

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Peritoneal Lavage in Blunt Abdominal Trauma

Cited by 2 publications

References 7 publications

Diagnostic Evaluation of Patients with Blunt Abdominal Trauma: A Decision Analysis

Diagnostic Evaluation of Patients with Blunt Abdominal Trauma: A Decision Analysis

Primary Surgery in Rural Areas of Southern Sudan

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