1999
DOI: 10.1016/s1072-7515(99)00121-0
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An algorithm to reduce the incidence of false-negative FAST∗∗∗Focused Assessment for the Sonographic Examination of the Trauma patient. examinations in patients at high risk for occult injury11No competing interests declared.

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Cited by 108 publications
(16 citation statements)
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“…Sixty percent of patients with initial FAST negative results still undergo abdominal exploration for injuries such as diaphragmatic injury or high suspicious of hallow viscus organ injury when no fluid is detected on FAST. This finding was reported by Ballard et al who found that even with initial negative FAST results in major pelvic fractures, patients required further investigations, because 31% required abdominal exploration later [ 18 ]. These occult injuries were diagnosed by CT scan, and 4/13 were false negative patients who required abdominal exploration because of grade IV liver injuries, bladder perforations, and diaphragmatic ruptures.…”
Section: Discussionsupporting
confidence: 56%
“…Sixty percent of patients with initial FAST negative results still undergo abdominal exploration for injuries such as diaphragmatic injury or high suspicious of hallow viscus organ injury when no fluid is detected on FAST. This finding was reported by Ballard et al who found that even with initial negative FAST results in major pelvic fractures, patients required further investigations, because 31% required abdominal exploration later [ 18 ]. These occult injuries were diagnosed by CT scan, and 4/13 were false negative patients who required abdominal exploration because of grade IV liver injuries, bladder perforations, and diaphragmatic ruptures.…”
Section: Discussionsupporting
confidence: 56%
“…Third, there is also a selection bias about the sensitivity and specificity of FAST. FAST has been shown to be an accurate diagnostic test in the setting of pelvic fractures, detecting hemoperitoneum with a specificity of 87% to 100% and sensitivity of 75% to 81% [1,5,23]. Finally, the trauma registry suffers from a number of missing data, especially unknown hospital discharge disposition.…”
Section: Discussionmentioning
confidence: 99%
“… 19 Development of hemoperitoneum over time, those some limitation of the study qualities can make it difficult to detect injuries with slower bleeding at US, so timing may be more responsible for the discrepancy in this patient than imaging modality because of ongoing bleeding and active fluid resuscitation in the interval between FAST and follow up ultrasound after two hours. 20 …”
Section: Discussionmentioning
confidence: 99%