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Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, January 2017
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

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2 blogs
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Title
Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, January 2017
DOI 10.1186/s13049-016-0342-0
Pubmed ID
Authors

D. Dammers, M. El Moumni, I.I. Hoogland, N. Veeger, E. ter Avest

Abstract

Focussed Assessment with Sonography for Trauma (FAST) is a bedside ultrasonography technique used to detect free intraperitoneal fluid in patients presenting with blunt abdominal trauma (BAT) in the emergency department. In this retrospective cohort study we investigated the potential of FAST as a risk stratification instrument in haemodynamically (HD) stable patients presenting after BAT by establishing the association between the FAST exam result and final outcome. An adverse outcome was defined in this context as the need for either a laparoscopy/laparotomy or an angiographic embolization or death due to abdominal injuries). A total of 421 patients with BAT were included, of which nine had an adverse outcome (2%). FAST was negative in 407 patients. Six of them turned out to have free intraperitoneal fluid (sensitivity 67 [41-86]%). FAST was positive in 14 patients, 12 of whom had free intraperitoneal fluid (specificity 99 [98-100]%). A positive FAST (positive likelihood ratio 34.3 [15.1-78.5]) was stronger associated with an adverse outcome than Injury Severity Score (ISS) or any individual clinical- or biochemical variables measured at presentation in the ED. The FAST exam can provide valuable prognostic information at minimal expenses during the early stages of resuscitation in haemodynamically stable patients presenting with BAT. FAST exam should not be omitted in patients with BAT.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 93 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 11%
Other 8 9%
Student > Postgraduate 8 9%
Researcher 7 8%
Student > Doctoral Student 7 8%
Other 24 26%
Unknown 29 31%
Readers by discipline Count As %
Medicine and Dentistry 50 54%
Nursing and Health Professions 3 3%
Agricultural and Biological Sciences 3 3%
Mathematics 1 1%
Business, Management and Accounting 1 1%
Other 3 3%
Unknown 32 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 19. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 March 2023.
All research outputs
#1,772,366
of 24,071,812 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#153
of 1,292 outputs
Outputs of similar age
#37,551
of 428,419 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#4
of 29 outputs
Altmetric has tracked 24,071,812 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,292 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.4. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 428,419 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.