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Hemoperitoneum among Pediatric Abdominal Trauma Patients Visiting in Emergency Department of a Tertiary Care Centre:

Samjhana Basnet1, Alok Pradhan1, Sahil Bade2

  • 1Department of General Practice and Emergency Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchowk, Nepal.

JNMA; Journal of the Nepal Medical Association
|May 19, 2023
PubMed

Insights

Focused assessment with sonography for trauma (FAST) identified hemoperitoneum in 19.34% of pediatric patients with blunt abdominal trauma. This finding is crucial for emergency medicine in managing pediatric trauma cases.

Area of Science:

  • Emergency Medicine
  • Pediatric Traumatology
  • Diagnostic Imaging

Background:

  • Pediatric abdominal trauma poses significant assessment and management challenges in emergency departments.
  • Focused Assessment with Sonography for Trauma (FAST) is an accessible tool for detecting hemoperitoneum in trauma patients.

Purpose of the Study:

  • To determine the prevalence of hemoperitoneum in pediatric patients with abdominal trauma using the FAST examination.
  • To evaluate the utility of FAST in the initial assessment of pediatric blunt abdominal trauma.

Main Methods:

  • A descriptive cross-sectional study was conducted over one year in a tertiary care hospital's Emergency Department.
  • 93 pediatric patients (ages 1-17) with blunt abdominal trauma underwent FAST examination.
  • Data analysis included calculating the point estimate and 90% Confidence Interval for hemoperitoneum prevalence.

Main Results:

  • The prevalence of hemoperitoneum among the 93 pediatric patients was 19.34% (95% CI: 12.61-26.09).
  • FAST imaging successfully identified hemoperitoneum in a significant subset of pediatric trauma cases.

Conclusions:

  • The prevalence of hemoperitoneum in pediatric blunt abdominal trauma is comparable to findings in similar studies.
  • FAST is a valuable diagnostic tool for the rapid assessment of hemoperitoneum in pediatric emergency settings.
Abstract

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