Diagnostic value of FAST ankle ultrasound compared to standard radiography for fracture detection in the emergency department by non-radiologist physicians: a monocentric prospective diagnostic cohort study.

IF 1.9 3区医学 Q2 EMERGENCY MEDICINE

European Journal of Trauma and Emergency Surgery Pub Date : 2025-02-14 DOI:10.1007/s00068-025-02772-3

Laeticia Vaiana Frezals, Arnaud Delafontaine, Hélène Scoubeau, Régis Sontou, Sofie Moorthamers, Antoine Plumacker, Alain Plumacker

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引用次数: 0

Abstract

Purpose: The goal of this study was to assess the diagnostic value of FAST ankle ultrasound, performed by non-radiologist specialist physicians, compared to standard X-ray imaging for ankle and foot trauma in the emergency department. Additionally, we analyzed whether other variables, such as demographic characteristics of the included patients, could influence fracture detection with the diagnostic tools used.

Methods: A non-randomized monocentric prospective diagnostic cohort study was conducted on 143 patients.

Results: Ankle and foot fractures were more frequently detected by FAST ultrasound compared to standard radiography. Regarding the influence of demographic factors, age and the correlation between Body Mass Index and age significantly influenced the ability to detect fractures.

Conclusion: FAST ultrasound demonstrated good diagnostic value in routine clinical practice for screening purposes and could be easily applied by non-radiologist specialist physicians. Implementing this approach may reduce time and costs in patient management, thereby aiding in alleviating triage congestion in the emergency department. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION FOR PROSPECTIVELY REGISTERED TRIALS: NCT05528432; 21-02-21.

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在急诊科非放射科医师进行骨折检测时，FAST踝关节超声与标准x线摄影的诊断价值比较：一项单中心前瞻性队列研究。

目的：本研究的目的是评估由非放射科专家医师进行的FAST踝关节超声与急诊部踝关节和足部创伤的标准x线成像的诊断价值。此外，我们还分析了其他变量，如纳入患者的人口统计学特征，是否会影响所使用的诊断工具对骨折的检测。方法：对143例患者进行非随机单中心前瞻性诊断队列研究。结果：FAST超声对踝关节和足部骨折的检出率高于标准x线摄影。在人口统计学因素的影响方面，年龄以及体质指数与年龄的相关性显著影响骨折的检测能力。结论：FAST超声在临床常规筛查中具有良好的诊断价值，可方便非放射科专科医师应用。实施这种方法可以减少病人管理的时间和成本，从而有助于减轻急诊科的分诊拥挤。预期注册试验的试验注册号和注册日期：nct05528432；21-02-21。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Trauma and Emergency Surgery 医学-急救医学

CiteScore

4.50

自引率

14.30%

发文量

311

审稿时长

3 months

期刊介绍： The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.