Clinical assessment versus radiological investigations: Predictive accuracy for intra-abdominal injury after blunt trauma.

Source: PubMed, NCBI / U.S. National Library of Medicine

Blunt abdominal trauma remains a critical biomedical problem because clinical examination alone has limited sensitivity and negative predictive value for detecting intra abdominal injuries in hemodynamically stable patients. Therefore, it is of interest to measure the clinical assessment of the diagnostic value of radiological versus clinical investigation with 100 patients with blunt abdominal trauma aged between 20-60 years in a tertiary care center in Rewa, India (April 2021- June 2022). Most prevalent was road traffic accidents (50%), followed by spleen (25%), clinical signs were pain (98%) and tenderness (90%), with the USG/X-ray (100%) and CECT (60%) leading to 70% conservative treatment with 94% good and 6% death. Thus, the radiological imaging proved to be a better diagnostic tool than clinical assessment of intra-abdominal injuries.