Abstract
Purpose: Sonography provides a fast, portable, and noninvasive method for patient assessment. However, the benefit of providing real-time ultrasound (US) imaging and fluid quantification shortly after patient arrival has not been explored. The objective of this study was to prospectively validate a US hemoperitoneum scoring system developed at our institution and determine whether sonography can predict a therapeutic operation. Methods: For 12 months, prospective data on all patients undergoing a trauma sonogram were recorded. All sonograms positive for free fluid were given a hemoperitoneum score. The US score was compared with initial systolic blood pressure and base deficit to assess the ability of sonography to predict a therapeutic laparotomy. Results: Forty of 46 patients (87%) with a US score ≥ 3 required a therapeutic laparotomy. Forty-six of 54 patients with a US score < 3 (85%) did not need operative intervention. The sensitivity of sonography was 83% compared with 28% and 49% for systolic blood pressure and base deficit, respectively, in determining the need for therapeutic operation. Conclusion: We conclude that the majority of patients with a score ≥ 3 will need surgery. The US hemoperitoneum scoring system was a better predictor of a therapeutic laparotomy than initial blood pressure and/or base deficit.
| Original language | English |
|---|---|
| Pages (from-to) | 650-656 |
| Number of pages | 7 |
| Journal | Journal of Trauma - Injury, Infection and Critical Care |
| Volume | 50 |
| Issue number | 4 |
| State | Published - May 3 2001 |
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Keywords
- Hemoperitoneum
- Laparotomy
- Prospective
- Score
- Trauma
- Ultrasound
ASJC Scopus subject areas
- Surgery
Cite this
Hemoperitoneum score helps determine need for therapeutic laparotomy. / McKenney, Kimberley L.; McKenney, Mark G.; Cohn, Stephen M.; Compton, Raymond; Nunez, Diego B.; Dolich, Matthew; Namias, Nicholas.
In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 50, No. 4, 03.05.2001, p. 650-656.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hemoperitoneum score helps determine need for therapeutic laparotomy
AU - McKenney, Kimberley L.
AU - McKenney, Mark G.
AU - Cohn, Stephen M.
AU - Compton, Raymond
AU - Nunez, Diego B.
AU - Dolich, Matthew
AU - Namias, Nicholas
PY - 2001/5/3
Y1 - 2001/5/3
N2 - Purpose: Sonography provides a fast, portable, and noninvasive method for patient assessment. However, the benefit of providing real-time ultrasound (US) imaging and fluid quantification shortly after patient arrival has not been explored. The objective of this study was to prospectively validate a US hemoperitoneum scoring system developed at our institution and determine whether sonography can predict a therapeutic operation. Methods: For 12 months, prospective data on all patients undergoing a trauma sonogram were recorded. All sonograms positive for free fluid were given a hemoperitoneum score. The US score was compared with initial systolic blood pressure and base deficit to assess the ability of sonography to predict a therapeutic laparotomy. Results: Forty of 46 patients (87%) with a US score ≥ 3 required a therapeutic laparotomy. Forty-six of 54 patients with a US score < 3 (85%) did not need operative intervention. The sensitivity of sonography was 83% compared with 28% and 49% for systolic blood pressure and base deficit, respectively, in determining the need for therapeutic operation. Conclusion: We conclude that the majority of patients with a score ≥ 3 will need surgery. The US hemoperitoneum scoring system was a better predictor of a therapeutic laparotomy than initial blood pressure and/or base deficit.
AB - Purpose: Sonography provides a fast, portable, and noninvasive method for patient assessment. However, the benefit of providing real-time ultrasound (US) imaging and fluid quantification shortly after patient arrival has not been explored. The objective of this study was to prospectively validate a US hemoperitoneum scoring system developed at our institution and determine whether sonography can predict a therapeutic operation. Methods: For 12 months, prospective data on all patients undergoing a trauma sonogram were recorded. All sonograms positive for free fluid were given a hemoperitoneum score. The US score was compared with initial systolic blood pressure and base deficit to assess the ability of sonography to predict a therapeutic laparotomy. Results: Forty of 46 patients (87%) with a US score ≥ 3 required a therapeutic laparotomy. Forty-six of 54 patients with a US score < 3 (85%) did not need operative intervention. The sensitivity of sonography was 83% compared with 28% and 49% for systolic blood pressure and base deficit, respectively, in determining the need for therapeutic operation. Conclusion: We conclude that the majority of patients with a score ≥ 3 will need surgery. The US hemoperitoneum scoring system was a better predictor of a therapeutic laparotomy than initial blood pressure and/or base deficit.
KW - Hemoperitoneum
KW - Laparotomy
KW - Prospective
KW - Score
KW - Trauma
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=0035063044&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035063044&partnerID=8YFLogxK
M3 - Article
C2 - 11303159
AN - SCOPUS:0035063044
VL - 50
SP - 650
EP - 656
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 4
ER -