Computed tomography benefits and cost in hemodynamically stable
patients with blunt abdominal trauma at an Egyptian University Hospital
Dublin Core
Title
Computed tomography benefits and cost in hemodynamically stable
patients with blunt abdominal trauma at an Egyptian University Hospital
patients with blunt abdominal trauma at an Egyptian University Hospital
Subject
Focused assessment with sonography in trauma
(FAST)
Computerized tomography (CT) scan
Intra-abdominal injury
(FAST)
Computerized tomography (CT) scan
Intra-abdominal injury
Description
Background: Trauma is a significant cause of mortality, especially among individuals aged between 15 and 44
years, with a substantial burden falling on economically active populations. Low- and middle-income countries
(LMICs) bear the burden of trauma-related deaths, accounting for over 90 % globally. In Egypt, trauma rates are
increasing, primarily due to road traffic crashes (RTC), affecting males disproportionately. Blunt abdominal
trauma, often caused by RTC, can lead to missed intra-abdominal injuries (IAIs) due to atypical symptoms.
Computed Tomography (CT) offers high sensitivity and specificity in detecting IAIs, but concerns about cost and
radiation exposure exist.
Methodology: This study investigates the roles of Focused Assessment with Sonography for Trauma (FAST) and CT
in managing blunt abdominal trauma. A retrospective cohort study was conducted on hemodynamically stable
patients. Data included patient demographics, trauma details, healthcare decisions, costs, and outcomes.
Results: Computed tomography significantly reduced unnecessary laparotomies (12.3% vs. 24.8 %, p = 0.001),
shortened hospital stays (4.83±0.71 days vs. 6.15±1.28 days, p = 0.005), and reduced ICU admissions (8 vs. 32,
p = 0.023) compared to FAST alone. Overall costs were lower in the CT & FAST Group ($2055.95 vs. $3488.7, p
= 0.0001), with no significant difference in missed IAIs.
Conclusion: This study highlights the limitations of relying solely on FAST for IAIs and underscores the value of
CT in guiding healthcare decisions. Incorporating CT led to reduced negative laparotomies, shorter hospital stays,
and fewer ICU admissions. While CT incurs initial costs, its long-term benefits outweigh expenditures, particularly in LMICs. This study provides insights into optimizing diagnostic approaches for blunt abdominal trauma in
low-resource settings.
years, with a substantial burden falling on economically active populations. Low- and middle-income countries
(LMICs) bear the burden of trauma-related deaths, accounting for over 90 % globally. In Egypt, trauma rates are
increasing, primarily due to road traffic crashes (RTC), affecting males disproportionately. Blunt abdominal
trauma, often caused by RTC, can lead to missed intra-abdominal injuries (IAIs) due to atypical symptoms.
Computed Tomography (CT) offers high sensitivity and specificity in detecting IAIs, but concerns about cost and
radiation exposure exist.
Methodology: This study investigates the roles of Focused Assessment with Sonography for Trauma (FAST) and CT
in managing blunt abdominal trauma. A retrospective cohort study was conducted on hemodynamically stable
patients. Data included patient demographics, trauma details, healthcare decisions, costs, and outcomes.
Results: Computed tomography significantly reduced unnecessary laparotomies (12.3% vs. 24.8 %, p = 0.001),
shortened hospital stays (4.83±0.71 days vs. 6.15±1.28 days, p = 0.005), and reduced ICU admissions (8 vs. 32,
p = 0.023) compared to FAST alone. Overall costs were lower in the CT & FAST Group ($2055.95 vs. $3488.7, p
= 0.0001), with no significant difference in missed IAIs.
Conclusion: This study highlights the limitations of relying solely on FAST for IAIs and underscores the value of
CT in guiding healthcare decisions. Incorporating CT led to reduced negative laparotomies, shorter hospital stays,
and fewer ICU admissions. While CT incurs initial costs, its long-term benefits outweigh expenditures, particularly in LMICs. This study provides insights into optimizing diagnostic approaches for blunt abdominal trauma in
low-resource settings.
Creator
Mohamed A. Abdel Hamid a
, Mohammad A. Abd-erRazik a,*
, Mostafa Nagy a
,
Mohamed El-Shinawi a,b,c
, Jon M. Hirshon b,d
, Maged El-Setouhy e,f
, Mohammad A. Abd-erRazik a,*
, Mostafa Nagy a
,
Mohamed El-Shinawi a,b,c
, Jon M. Hirshon b,d
, Maged El-Setouhy e,f
Source
https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X23000617/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDbBwmzTAxoCfj70r5vGoA9zxxJoZNjiGftD0fWXUyFOQIgacAs2XaTLLHe1Ziqx%2BJMOucdesYGe2QeSawbVKoiVLwquwUIoP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDDf1%2FkBlPB6QXc6CfiqPBdJCmPiRA7R%2BfRDP7vDgacj1V0O0iB3SLVmaxISZWlI0ABoGikfCzF20mqxHVK7GbohFjhsHBQuN9rFfG5m6COpjKwoigRTk4BtPkhtrMb9a4MPhD9u2reNdKQZxLPP%2BpPTkrNVEYW%2Bjrk9NvqeQwRez16pNipVzorfI5fhaOvJ6ds7norBRuvdUOtHJcM1ZJn05eax7zix4a6YKrKDw1GZ6V2vp9weQg9%2BsH%2BQEdbKYAGESMlLr2xQuJkaDkAOiSTnOKB1Z6of0jZnhf0Zm8Csa7px3cy97KS48gLwBS9TZ3tw6rrWNzfSb2%2F6nIrHzRuvsgBslOP3qFdWQQuVW5NRdD6fINBXmbZjcHkx0%2BQHG6cArKmhKeNO8zTtvbhiIsNDocDCcROhcme%2F6oy87menkiKYdL9Ilxxc6GRR%2FjnhypT8bpFpoK3oNY4IBET0wmj8tvYaDxqKZRxliNTwCYiEfEviHadYXezZK1gZ9t9F3kb%2FKfvKx6Uqk%2BgRnoFreU0ni83tCku0w90qVM5wFlF%2B7WlEzdsVwufRsG9dl%2Bz8cK7kpU5gYamRLJy8%2F0%2BDqDcvERzzVg5rYL50p85je33nfV%2FFYOMAP2dTwN7WQ3NoKgb8eWo5%2BU9XUM1iRWvHxKAr16L%2F512akqnRir8RMpuIfEWcf%2FQXOrpv64M03D7fw98lh49Of1RIh3Ji4ElO9S5Kbu2q4PbDzwPJWqYrFa1tjRgmsr%2BLGxcm73T4Ni%2F88KkLaBCN1ku75WLpmfKtY3DmQN0MVJBHbivczIBaqMocxLqUGzVIdMpPI5DB3rQ9ADLHVfuVGb%2Ft%2FPIJkfenACPv2kF12FzmCovIpyTrgNr8z9x5nH8pU0IldA2KkkGcwr%2FPOwgY6sQGZFNqIhi9yUXsoyMhnpzWXJVv1%2F70%2BI8LiAImq0EXpjCyQoI%2F02iag1m6jjr2snPwikxq4UEvjjxogdZ3x2CE4R4BH3ZHEEvn9gWMlhmWLlbUXYhKeTFewnLBT2sztSDTeibQfMNMvNdfgW%2F8Te2YD8Mbq8KS7bATILVm1VcfEqKLXf%2Fk1ciLJNXKqKkdPotftHTuhoT6HTcKpidBe%2BBTOve%2Fa8FJ%2BWIJ7X7WylDAE%2BzQ%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T074923Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYXG5IEQL7%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=d21d80d01ad35215d067d124d1236a5c1310458cd7c6753eb64bf58a46975204&hash=856de519b4de0d546c2edc1dc45a09873899642c8bb9955c30bd5e9f1d89b2aa&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X23000617&tid=spdf-bb45bd3d-805c-4ae6-92c2-9701531c22aa&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515100045307&rr=95216df3deb2f4ec&cc=id
Publisher
a Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt b Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States c Galala University, Suez, Egypt d Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, United States e Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia f Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Date
19 november 2023
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Citation
Mohamed A. Abdel Hamid a
, Mohammad A. Abd-erRazik a,*
, Mostafa Nagy a
,
Mohamed El-Shinawi a,b,c
, Jon M. Hirshon b,d
, Maged El-Setouhy e,f
, “Computed tomography benefits and cost in hemodynamically stable
patients with blunt abdominal trauma at an Egyptian University Hospital,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9560.
patients with blunt abdominal trauma at an Egyptian University Hospital,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9560.