سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Seyedhosseini-Davarani, Seyedhossein, Saeedi, Anahita, Rouhipour, Alaleh, Sanei Taheri, Morteza, Baratloo, Alireza. (1396). The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study. , 5(11), 6103-6110. doi: 10.22038/ijp.2017.26125.2231
Seyedhossein Seyedhosseini-Davarani; Anahita Saeedi; Alaleh Rouhipour; Morteza Sanei Taheri; Alireza Baratloo. "The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study". , 5, 11, 1396, 6103-6110. doi: 10.22038/ijp.2017.26125.2231
Seyedhosseini-Davarani, Seyedhossein, Saeedi, Anahita, Rouhipour, Alaleh, Sanei Taheri, Morteza, Baratloo, Alireza. (1396). 'The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study', , 5(11), pp. 6103-6110. doi: 10.22038/ijp.2017.26125.2231
Seyedhosseini-Davarani, Seyedhossein, Saeedi, Anahita, Rouhipour, Alaleh, Sanei Taheri, Morteza, Baratloo, Alireza. The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study. , 1396; 5(11): 6103-6110. doi: 10.22038/ijp.2017.26125.2231

The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study

Journal of Pediatric Perspectives
مقاله 14، دوره 5، شماره 11 - شماره پیاپی 47، بهمن 2017، صفحه 6103-6110    اصل مقاله (251.96 K)
شناسه دیجیتال (DOI): 10.22038/ijp.2017.26125.2231
نویسندگان
Seyedhossein Seyedhosseini-Davarani1؛ Anahita Saeedi2؛ Alaleh Rouhipour3؛ Morteza Sanei Taheri4؛ Alireza Baratloo* 5
1Department of Emergency Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
2Department of Emergency Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3Pediatric Specialist, Private Researcher, Tehran, Iran.
4Department of Radiology, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5Department of Emergency Medicine, Sina Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده
Background
Currently, almost all patients with probable abdominal injury undergo urinalysis in emergency department (ED). The present survey was conducted with the aim of assessing the diagnostic values of urinalysis compare with abdominal computed tomography (CT) scan with contrast for predicting possible intra-abdominal injuries in children affected by blunt trauma.
Materials and Methods: The present diagnostic accuracy study was accomplished on patients' < 16-year-old with blunt abdominal trauma who were admitted to emergency department (ED) and underwent both urinalysis and abdominal CT scan. Demographic and baseline characteristics data, and the results of urinalysis and abdominal CT scan were recorded. Thereafter, screening performance characteristics were calculated.
Results
Seventy eligible patients with the mean age of 7.1 ± 4.86 years were enrolled (68.6% male). Screening performance characteristics including sensitivity, specificity and positive and negative predictive values of hematuria were 26.7%, 92.7%, 50.0% and 82.3%, respectively. Positive and negative likelihood ratios were calculated as 3.67 and 0.79, respectively.
Conclusion
It is likely that, presence of hematuria has acceptable specificity, but very low sensitivity in comparison with CT scan for prediction of abdominal organ injuries in children with blunt abdominal trauma. Therefore, urinalysis is not useful for screening the presence of organ injuries in this population.
کلیدواژه‌ها
Abdominal injuries؛ Children؛ Emergency Department؛ Hematuria؛ Urinalysis
آمار
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