Comparison of Blunt Abdominal Trauma Scoring System (BATSS) versus FAST in Assessment of Blunt Abdominal Trauma in a Tertiary Care Centre in India

Authors

  • Diya Baju Parappat
  • Vishnu P. S
  • R. Nimitha
  • Suraj Pinto

Keywords:

Blunt abdominal trauma, BATSS, FAST, CECT, trauma scoring

Abstract

Background: Blunt abdominal trauma (BAT) is a significant cause of morbidity and mortality, particularly in developing countries. Accurate diagnostic tools are essential for effective triage and management. The Blunt Abdominal Trauma Scoring System (BATSS) integrates clinical and ultrasonographic findings, while Focused Assessment with Sonography for Trauma (FAST) is widely used for detecting intra-abdominal free fluid.

Objective: To evaluate the effectiveness of BATSS compared to FAST in assessing BAT at a tertiary care centre in India.

Methods: A retrospective study was conducted on 62 patients with BAT admitted to Father Muller Medical College Hospital from January 2020 to December 2022. Patients aged ≥18 years were included, excluding those with penetrating trauma or iatrogenic injuries. BATSS scores were calculated based on clinical parameters and FAST findings, and results were compared with contrast-enhanced computed tomography (CECT) abdomen as the gold standard. Sensitivity, specificity, and predictive values were analyzed using SPSS 18.

Results: Of 62 patients, 82% were male, with 58% aged <40 years. Road traffic accidents accounted for 85% of cases. FAST showed a sensitivity of 67.39% and specificity of 100%, while BATSS demonstrated a sensitivity of 71.73% and specificity of 100%. BATSS scores ≥8 were strongly associated with intra-abdominal injury.

Conclusion: BATSS outperforms FAST in predicting intra-abdominal injury, aiding triage and reducing unnecessary imaging.

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References

Fraga GP, Mantovani M, Magna LA. Trauma indices in patients undergoing laparotomy. Rev Col Bras Cir. 2004;31(5):299-306.

Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the Trauma Score. J Trauma. 1989;29(5):623-9.

Chawda M, Hildebrand F, Pape H, Giannoudis P. Predicting outcome after multiple trauma: which scoring system? Injury. 2004;35(4):347-58.

Lecky F, Woodford M, Edwards A, Bouamra O, Coats T. Trauma scoring systems and databases. Br J Anaesth. 2014;113(2):286-94.

Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. J Trauma. 1987;27(4):370-8.

Osler T, Baker SP, Long W. A modification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma. 1997;43(6):922-5.

Fahmi KSE, Refaat DO, Ali KA, Abd Elghafar MN. Diagnostic evaluation of Blunt Abdominal Trauma Scoring System (BATSS). Egypt J Hosp Med. 2022;86(1):871-6.

Talari H, Moussavi N, Abedzadeh-Kalahroudi M, Atoof F, Abedini A. Correlation between intra-abdominal free fluid and solid organ injury in blunt abdominal trauma. Arch Trauma Res. 2015;4(3):e29118.

Luthra T, Sahu SK, Bedi KS, Raghuvanshi S, Banerjee S. Assessment of BATSS (Blunt Abdominal Trauma Scoring System) in patients of blunt abdominal trauma. J Surg Sci. 2021;8(1):1-6.

Fonseca MK, Patino LDG, Da-Cunha CEB, Baldissera N, Crespo ARPT, Breigeiron R. Assessment of trauma scoring systems in patients subjected to exploratory laparotomy. Rev Col Bras Cir. 2020;47:e20202529.

Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology. 2012;265(3):678-93.

Shah Y, Singh A, Bansod PY, Akhtar M. A prospective evaluation of blunt trauma abdomen in rural setup. Int J Surg Sci. 2019;3(4):1-5.

Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese RS, Guillamondegui OD, et al. Nonoperative management of blunt abdominal trauma: the role of sequential diagnostic imaging. J Trauma Acute Care Surg. 2012;73(5):1319-24.

Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323-4.

Baker SP, O’Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96.

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Published

2025-06-30

How to Cite

1.
Parappat DB, P. S V, Nimitha R, Pinto S. Comparison of Blunt Abdominal Trauma Scoring System (BATSS) versus FAST in Assessment of Blunt Abdominal Trauma in a Tertiary Care Centre in India. J Neonatal Surg [Internet]. 2025Jun.30 [cited 2025Jul.19];14(32S):2829-34. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7832

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

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