دورية أكاديمية
Comparison between isolated serial clinical examination and computed tomography for stab wounds in the anterior abdominal wall.
| العنوان: | Comparison between isolated serial clinical examination and computed tomography for stab wounds in the anterior abdominal wall. |
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| المؤلفون: | Breigeiron R; - Hospital de Pronto Socorro de Porto Alegre, Serviço de Cirurgia do Trauma, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina: Ciências Cirúrgicas, Porto Alegre, RS, Brasil., Breitenbach TC; - Hospital de Pronto Socorro de Porto Alegre, Serviço de Cirurgia do Trauma, Porto Alegre, RS, Brasil., Zanini LAG; - Hospital de Pronto Socorro de Porto Alegre, Serviço de Cirurgia do Trauma, Porto Alegre, RS, Brasil., Corso CO; - Hospital de Pronto Socorro de Porto Alegre, Serviço de Cirurgia do Trauma, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina: Ciências Cirúrgicas, Porto Alegre, RS, Brasil. |
| المصدر: | Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2017 Nov-Dec; Vol. 44 (6), pp. 596-602. |
| نوع المنشور: | Comparative Study; Journal Article; Randomized Controlled Trial |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Colégio Brasileiro de Cirurgiões Country of Publication: Brazil NLM ID: 7809515 Publication Model: Print Cited Medium: Internet ISSN: 1809-4546 (Electronic) Linking ISSN: 01006991 NLM ISO Abbreviation: Rev Col Bras Cir Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janeiro : Colégio Brasileiro de Cirurgiões, [1974?]- |
| مواضيع طبية MeSH: | Abdominal Wall* , Physical Examination* , Tomography, X-Ray Computed*, Abdominal Injuries/*diagnosis , Wounds, Stab/*diagnosis, Adult ; Female ; Humans ; Male ; Prospective Studies |
| مستخلص: | Objective: to compare abdominal computer tomography (CT) with isolated serial clinical exam (SCE) in the management of anterior abdominal stab wounds. Methods: randomized prospective study performed at Hospital de Pronto Socorro de Porto Alegre involving patients with anterior abdominal stab wounds without indication of immediate laparotomy; patients were divided in two groups: CT group and SCE group, In the SCE group, patients were followed up with serial clinical exam every 6 hours, Patients of CT group were submitted to abdominal computer tomography after initial evaluation. Results: 66 patients were studied and 33 were included in each group, Of total, six were submitted to surgery, three of each group, In the SCE group, patients submitted to surgery in media waited 12 hours from arrival to diagnosis without any non-therapeutic surgeries, The remaining 30 patients of this group were discharged from hospital after 24 hours of observation, In the CT group, three patients showed alteration at CT and were submitted to laparotomy, one non-therapeutic, The others were discharged from hospital after 24 hours of observation, Abdominal computer tomography had a positive predictive value (PPV) of 67% and negative predictive value (NPV) of 100%, with 96% of accuracy, Isolated serial clinical exam showed PPV and NPV of 100% and 100% of accuracy. Conclusion: selective management of anterior abdominal stabs is safe, when a rigorous selection of patients is observed, Isolated serial clinical exam may be performed without computer tomography, without increase of hospitalization time or morbidity, reducing costs, exposure to radiation, mortality and morbidity and non-therapeutic laparotomies. |
| تواريخ الأحداث: | Date Created: 20171222 Date Completed: 20180906 Latest Revision: 20180906 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1590/0100-69912017006009 |
| PMID: | 29267556 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1809-4546 |
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| DOI: | 10.1590/0100-69912017006009 |