Research Article

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Blunt Abdominal Trauma

Table 2

Patients’ characteristics and outcomes.

True-positive (n = 135)False-negative (n = 270)

Age (years)45.2 ± 15.746.0 ± 17.30.654
Sex (male, %)111(82.2%)213 (78.9%)0.598
Body mass index (kg/m2)24.7 ± 4.324.8 ± 4.20.704
Prehospital time (min)47.9 ± 21.361.9 ± 125.40.198

Vital signs
 Initial SBP (mmHg)117.8 ± 28.7125.2 ± 27.50.008
 Lowest SBP (mmHg)82.2 ± 29.594.6 ± 28.9<0.001
 Initial heart rate (/min)102.5 ± 25.497.2 ± 24.10.058
 Initial respiratory rate (/min)23.1 ± 6.723.4 ± 6.60.593

Glasgow Coma Scale10.8 ± 5.211.8 ± 4.50.034
Injury severity score31.3 ± 13.428.8 ± 11.80.040
Injury mechanism, n (%)0.583
 Motor vehicle crash60 (44.4%)79 (29.3%)
 Auto versus pedestrian22 (16.3%)49 (18.1%)
 Motorcycle19 (14.1%)56 (20.7%)
 Bicycle2 (1.5%)1 (0.4%)
 Fall26 (19.3%)70 (25.9%)
 Assault5 (3.7%)11 (4.1%)
 Machine1 (0.7%)2 (0.7%)
 Other02 (0.7%)

Transfusion within 24 h
 Packed red blood cells (U)12.4 ± 15.47.1 ± 10.6<0.001
 Fresh frozen plasma (U)10.7 ± 14.26.3 ± 9.60.001

Treatment
 Laparotomy, n (%)88 (65.2%)93 (34.4%)<0.001
 ICU LOS (days)9.7 ± 14.09.8 ± 18.20.957
 Hospital LOS (days)27.6 ± 25.826.5 ± 30.50.720
Mortality, n (%)

 Total27 (20.0%)40 (14.8%)0.186
 Initial SBP ≤ 90 mmHg11 (34.4%) (n = 32)13 (33.3%) (n = 39)0.926
 Lowest SBP ≤ 90 mmHg24 (28.2%) (n = 85)29 (25.2%) (n = 115)0.633

SBP: systolic blood pressure; ICU: intensive care unit; LOS: length of stay. The lowest SBP was defined during initial resuscitation in the trauma bay. Mann–Whitney test was utilized.