Volume 11, Issue 2 (7-2023)
J Surg Trauma 2023, 11(2): 59-65 |
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Khakbaz Niasar M, Moosavi Buki N, Ghafor L, Abedzadeh Kalahroudi M, Sehat M, Khojasteh-Kaffash S. Predictive value of microscopic hematuria in the diagnosis of intra-abdominal organ damage in blunt trauma. J Surg Trauma 2023; 11 (2) :59-65
URL: http://jsurgery.bums.ac.ir/article-1-361-en.html
URL: http://jsurgery.bums.ac.ir/article-1-361-en.html
Majid Khakbaz Niasar 
, Nooshin Moosavi Buki , Leila Ghafor , Masoumeh Abedzadeh Kalahroudi , Mojtaba Sehat , Soroush Khojasteh-Kaffash * 
, Nooshin Moosavi Buki , Leila Ghafor , Masoumeh Abedzadeh Kalahroudi , Mojtaba Sehat , Soroush Khojasteh-Kaffash *
Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
Abstract: (805 Views)
- Introduction: https://scholar.google.com/citations?view_op=view_citation&hl=en&user=iE1-7RQAAAAJ&sortby=pubdate&citation_for_view=iE1-7RQAAAAJ:kz9GbA2Ns4gCTrauma is the most common cause of death under the age of 50 and one of the three main causes of death. The role of microscopic hematuria in the diagnosis of abdominal injuries is not clear. This study aimed to investigate the predictive role of microscopic hematuria in the assessment of abdominal organ damage in blunt trauma.
- Methods: This cross-sectional study was conducted on all blunt trauma patients, who were admitted to the surgery department of Shahid Beheshti Hospital in Kashan in 2016 and 2017. Patients with blunt abdominal trauma aged 18 to 65 years were included, and patients with macroscopic hematuria, unstable hemodynamic status, and a history of kidney diseases were excluded. Spiral CT scan of the abdomen and pelvis was performed with intravenous injection of contrast material with delayed nephrogram phase as the gold standard. Data analysis was performed using the SPSS software. The Chi-square test and McNemar's test were used. (P<0.05) was considered significant.
- Results: In this study, 400 patients with blunt trauma participated. The frequency of microscopic hematuria in patients with intra-abdominal organ damage was significantly higher than in other patients (71.4% versus. 38.9%, P<0.001). The sensitivity and specificity of microscopic hematuria in diagnosing damage to intra-abdominal organs were 53.84% and 77.14%, respectively. The overall accuracy of the test was 62.0% (Kappa coefficient=0.22, P<0.001).
- Conclusion: Due to the low accuracy of microscopic hematuria in diagnosing damage to intra-abdominal organs, it is not suitable as the main diagnostic method, but it can be used as an auxiliary method.
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Type of Study: Research |
Subject:
General Surgery
Received: 2022/12/23 | Accepted: 2023/06/10 | ePublished ahead of print: 2023/06/23 | Published: 2023/08/18 | ePublished: 2023/08/18
Received: 2022/12/23 | Accepted: 2023/06/10 | ePublished ahead of print: 2023/06/23 | Published: 2023/08/18 | ePublished: 2023/08/18
References
1. Stinner DJ, Edwards D. Surgical management of musculoskeletal trauma. Surgical Clinics. 2017;97(5):1119-1131. [DOI:10.1016/j.suc.2017.06.005] [PMID]
2. Holland AJ, Soundappan SS. Trauma hazards in children: An update for the busy clinician. J Paediatr Child Health. 2017;53(11):1096-1100. [DOI:10.1111/jpc.13603] [PMID]
3. Naidoo S, Hardcastle TC. Traumatic injury to the great vessels of the chest. Mediastinum. 2021;5:26. [DOI:10.21037/med-21-15] [PMID] []
4. Schnüriger B, Inaba K, Barmparas G, Eberle BM, Lustenberger T, Lam L, et al. Serial white blood cell counts in trauma: do they predict a hollow viscus injury?. J Trauma Acute Care Surg. 2010;69(2):302-307. [DOI:10.1097/TA.0b013e3181bdcfaf] [PMID]
5. Kwok MY, Yen K, Atabaki S, Adelgais K, Garcia M, Quayle K, et al. Sensitivity of plain pelvis radiography in children with blunt torso trauma. Ann Emerg Med. 2015;65(1):63-71. [DOI:10.1016/j.annemergmed.2014.06.017] [PMID]
6. de Moya M, Goldstein AL. Non-operative management of penetrating abdominal injuries: an update on patient selection. Curr Transplant Rep. 2019;7:1-10. [DOI:10.1007/s40137-019-0234-0]
7. Vasquez M, Cardarelli C, Glaser J, Murthi S, Stein D, Scalea T. The ABC's of pancreatic trauma: airway, breathing, and computerized tomography scan?. Mil Med. 2017;182(1):66-71. [DOI:10.7205/MILMED-D-16-00084] [PMID]
8. Moussavi N, Ghani H, Davoodabadi A, Atoof F, Moravveji A, Saidfar S, et al. Routine versus selective chest and abdominopelvic CT-scan in conscious blunt trauma patients: a randomized controlled study. Eur J Trauma Emerg Surg. 2018;44(1):9-14. [DOI:10.1007/s00068-017-0842-2] [PMID]
9. Keihani S, Anderson RE, Hotaling JM, Myers JB. Diagnosis and management of urinary extravasation after high-grade renal trauma. Nat Rev Urol. 2019;16(1):54-64. [DOI:10.1038/s41585-018-0122-x] [PMID]
10. Kordzadeh A, Melchionda V, Rhodes K, Fletcher E, Panayiotopolous Y. Blunt abdominal trauma and mesenteric avulsion: a systematic review. Eur J Trauma Emerg Surg. 2016;42(3):311-315. [DOI:10.1007/s00068-015-0514-z] [PMID]
11. Jahromi AH, Johnson L, Youssef AM. Delayed small bowel perforation following blunt abdominal trauma: a case report and review of the literature. Asian J Surg. 2016;39(2):109-112. [DOI:10.1016/j.asjsur.2013.01.006] [PMID]
12. Iaselli F, Mazzei MA, Firetto C, D'Elia D, Squitieri NC, Biondetti PR, et al. Bowel and mesenteric injuries from blunt abdominal trauma: a review. La radiologia medica. 2015;120(1):21-32. [DOI:10.1007/s11547-014-0487-8] [PMID]
13. McGrath A, Whiting D. Recognising and assessing blunt abdominal trauma. Emergency Nurse. 2015;22(10):18-24. [DOI:10.7748/en.22.10.18.e1377] [PMID]
14. Nayak SR, Yeola MP, Nayak SR, Kamath K, Raghuwanshi PS. Role of focused assessment with sonography for trauma in the assessment of blunt abdominal trauma-a review. J Evol Med Dent Sci. 2021;10(1):45-51. [DOI:10.14260/jemds/2021/9]
15. Stengel D, Rademacher G, Ekkernkamp A, Güthoff C, Mutze S. Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma. Cochrane Database Syst Rev. 2015(9). [DOI:10.1002/14651858.CD004446.pub4] [PMID] []
16. Chereau N, Wagner M, Tresallet C, Lucidarme O, Raux M, Menegaux F. CT scan and Diagnostic Peritoneal Lavage: towards a better diagnosis in the area of nonoperative management of blunt abdominal trauma. Injury. 2016;47(9):2006-2011. [DOI:10.1016/j.injury.2016.04.034] [PMID]
17. Lee MJ, Sperry JL, Rosengart MR. Evaluating for acute mesenteric ischemia in critically illpatients: diagnostic peritoneal lavage is associated with reduced operative intervention and mortality. J Trauma Acute Care Surg. 2014;77(3):441-417. [DOI:10.1097/TA.0000000000000381] [PMID]
18. Hashemzadeh S, Mameghani K, Fouladi RF, Ansari E. Diagnostic peritoneal lavage in hemodynamically stable patients with lower chest or anterior abdominal stab wounds. Ulus Travma Acil Cerrahi Derg. 2012;18(1):37-42. [DOI:10.5505/tjtes.2012.89137] [PMID]
19. Swaine JM, Breidahl W, Bader D, Oomens C, O'Loughlin E, Santamaria N, et al. Ultrasonography detects deep tissue injuries in the subcutaneous layers of the buttocks following spinal cord injury. Top Spinal Cord Inj Rehabil. 2018;24(4):371-378. [DOI:10.1310/sci17-00031] [PMID] []
20. Scott A, Zahradnik TM, Squier K, Beck C, Brunham LR. Diagnostic accuracy of ultrasound and MRI for Achilles tendon xanthoma in people with familial hypercholesterolemia: A systematic review. J Clin Lipidol. 2019;13(1):40-48. [DOI:10.1016/j.jacl.2018.10.013] [PMID]
21. Montoya J, Stawicki S, Evans DC, Bahner D, Sparks S, Sharpe R, et al. From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment. Eur J Trauma Emerg Surg. 2016;42(2):119-126. [DOI:10.1007/s00068-015-0512-1] [PMID]
22. Mohammadi A, Ghasemi-Rad M. Evaluation of gastrointestinal injury in blunt abdominal trauma" FAST is not reliable": the role of repeated ultrasonography. World J Emerg Surg. 2012;7(1):1-6. [DOI:10.1186/1749-7922-7-2] [PMID] []
23. Knudson MM, McAninch JW, Gomez R, Lee P, Stubbs HA. Hematuria as a predictor of abdominal injury after blunt trauma. The American journal of surgery. 1992;164(5):482-486. [DOI:10.1016/S0002-9610(05)81185-7] [PMID]
24. Karamercan MA, Sevgili AM, Karamercan A, Atilla P, Balkanci ZD, Karamercan G, et al. Microscopic hematuria as a marker of blunt abdominal trauma in rats: description of an experimental model. Journal of Trauma and Acute Care Surgery. 2011;71(3):687-693. [DOI:10.1097/TA.0b013e31820932bf] [PMID]
25. Sabzghabaei A, Shojaee M, Safari S, Hatamabadi HR, Shirvani R. The accuracy of urinalysis in predicting intra-abdominal injury following blunt traumas. Emergency. 2016;4(1):11.
26. Moustafa F, Loze C, Pereira B, Vaz M, Caumon L, Perrier C, et al. Assessment of urinary dipstick in patients admitted to an ED for blunt abdominal trauma. Am J Emerg Med. 2017;35(4):628-631. [DOI:10.1016/j.ajem.2016.12.047] [PMID]
27. Seyedhosseini-Davarani S, Saeedi A, Rouhipour A, Sanei Taheri M, Baratloo A. The value of urinalysis in detection of abdominal organ injuries in children with hematuria following blunt abdominal trauma; a diagnostic study. Int J Pediatr. 2017;5(11):6103-6110.
28. Forouzanfar MM, Hashemi B, Heydari K, Majidi A, Mahmoodi S, Saeedi A. Concordance of Abdominal Computed Tomography with Urinalysis Findings in Pediatrics with Hematuria Resulted from Blunt Abdominal Trauma. Iranian Journal of Emergency Medicine. 2017;4(3):125-129.
29. Taylor GA, Eichelberger MR, Potter BM. Hematuria. A marker of abdominal injury in children after blunt trauma. Annals of surgery. 1988;208(6):688. [DOI:10.1097/00000658-198812000-00003] [PMID] []
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