Routine urinalysis in patients with a blunt abdominal trauma mechanism is not valuable to detect urogenital injury

Olthof, Dominique C.; Joosse, Pieter; Vlies, Cornelis H. van der; Reijke, Theo M. de; Goslings, J. Carel

doi:10.1136/emermed-2013-202651

Cited by 10 publications

(1 citation statement)

References 15 publications

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“…We found no evidence to support the provision of qualitative or quantitative information about microscopic haematuria, consistent with studies demonstrating its low value. 26,27 The relatively high frequency (50%) of documentation on electronic requests could be because of the speed and ease of the test during the trauma admission procedure. Clinicians TABLE4: Association between request form detail and computed tomography evidence of abdominal injury.…”

Section: Discussionmentioning

confidence: 99%

How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?

2020

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Background: The relevance of clinical data included in blunt trauma referrals for abdominal computed tomography (CT) is not known.Objectives: To analyse the clinical details provided on free-text request forms for abdominal CT following blunt trauma and assess their association with imaging evidence of intra-abdominal injury.Method: A single-institution, retrospective study of abdominal CT scans was performed for blunt trauma between 01 January and 31 March 2018. Computed tomography request forms were reviewed with their corresponding CT images. Clinical details provided and scan findings were captured systematically. The relationship between individual clinical features and CT evidence of abdominal injury was tested using one-way cross tabulation and Fisher’s exact test.Results: One hundred thirty-nine studies met inclusion criteria. A wide range of clinical details was communicated. Only clinical abdominal examination findings (p = 0.05), macroscopic haematuria (p 0.01), pelvic fracture or hip dislocation (p = 0.04) and positive focused assessment with sonography in trauma (p 0.01) demonstrated an associated trend with abdominal injury.Conclusion: Key abdominal examination and basic imaging findings remain essential clinical details for the appropriate evaluation of CT abdomen requests in the setting of blunt trauma. Methods to improve consistent communication of relevant clinical details are likely to be of value.

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Section: Discussionmentioning

confidence: 99%

How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?

2020

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

Moustafa

Loze

Pereira³

et al. 2017

The American Journal of Emergency Medicine

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A negative urinalysis is associated with a low likelihood of intra-abdominal injury after blunt abdominal trauma

Jones

Stovall

Jones

et al. 2017

The American Journal of Surgery

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Routine urinalysis in patients with a blunt abdominal trauma mechanism is not valuable to detect urogenital injury

Abstract: The results do not support the routine performance of urinalysis in patients admitted with a blunt trauma mechanism. Although urinalysis could be valuable in specific patient populations, we should consider omitting this investigation as a routine part of the assessment of trauma patients.

Cited by 10 publications

References 15 publications

How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?

How useful are clinical details in blunt trauma referrals for computed tomography of the abdomen?

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

A negative urinalysis is associated with a low likelihood of intra-abdominal injury after blunt abdominal trauma

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