{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:24:56Z","timestamp":1769585096011,"version":"3.49.0"},"reference-count":28,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The trauma burden globally accounts for high levels of mortality and morbidity. Blunt abdominal trauma (BAT) contributes significantly to this burden. Patient\u2019s evaluation for BAT remains a diagnostic challenge for emergency physicians. SSORTT gives a score that can predict the need for laparotomy. The objective of this study was to assess the accuracy of SSORTT score in predicting the need for a therapeutic laparotomy after BAT.<jats:italic>Method<\/jats:italic>. A prospective observational study. Eligible patients were evaluated for shock and the presence of haemoperitoneum using a portable ultrasound machine. Further evaluation of patients following the standard of care (SOC) protocol was done. The accuracy of SSORTT score in predicting therapeutic laparotomy was compared to SOC.<jats:italic>Results<\/jats:italic>. In total, 195 patients were evaluated; M\u2009:\u2009F ratio was 6\u2009:\u20091. The commonest injuries were to the head 80 (42%) and the abdomen 54 (28%). A SSORTT score of &gt;2 appropriately identified patients that needed a therapeutic laparotomy (with sensitivity 90%, specificity 90%, PPV 53%, and NPV 98%). The overall mortality rate was 17%.<jats:italic>Conclusion<\/jats:italic>. Patients with a SSORTT score of 2 and above had a high likelihood of requiring a therapeutic laparotomy. SSORTT scoring should be adopted for routine practice in low technology settings.<\/jats:p>","DOI":"10.1155\/2014\/793437","type":"journal-article","created":{"date-parts":[[2014,2,13]],"date-time":"2014-02-13T21:04:10Z","timestamp":1392325450000},"page":"1-7","source":"Crossref","is-referenced-by-count":6,"title":["Emergency Ultrasound Predicting the Need for Therapeutic Laparotomy among Blunt Abdominal Trauma Patients in a Sub-Saharan African Hospital"],"prefix":"10.1155","volume":"2014","author":[{"given":"P. C. M.","family":"Musiitwa","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Galukande","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Bugeza","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Wanzira","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration, Makerere University, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Wangoda","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199805000-00011"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197606000-00009"},{"key":"3","volume":"1","year":"2007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197607000-00001"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.1997.tb00167.x"},{"issue":"2","key":"9","first-page":"49","volume":"3","year":"1997","journal-title":"East and Central African Journal of Surgery"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-008-1447-2"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000069184.82147.06"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000075338.21177.EF"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.10.003"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199304000-00008"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90455-9"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199904000-00003"},{"key":"18"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2001.24476"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200104000-00009"},{"issue":"2","key":"21","first-page":"138","volume":"11","year":"2010","journal-title":"The Western Journal of Emergency Medicine"},{"issue":"1","key":"22","first-page":"63","volume":"7","year":"2002","journal-title":"East and Central African Journal of Surgery"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1136\/ip.7.1.46"},{"issue":"2","key":"24","first-page":"29","volume":"13","year":"2008","journal-title":"East and Central African Journal of Surgery"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1186\/1752-2897-6-1"},{"issue":"2","key":"27","first-page":"33","volume":"14","year":"2009","journal-title":"East and Central African Journal of Surgery"},{"issue":"4","key":"28","first-page":"189","volume":"76","year":"1999","journal-title":"East African Medical Journal"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.217.2.r00nv23426"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.32637"},{"issue":"1","key":"32","first-page":"59","volume":"7","year":"2002","journal-title":"East and Central African Journal of Surgery"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199804000-00008"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199706000-00017"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2014\/793437.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2014\/793437.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2014\/793437.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T08:52:29Z","timestamp":1469782349000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/emi\/2014\/793437\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":28,"alternative-id":["793437","793437"],"URL":"https:\/\/doi.org\/10.1155\/2014\/793437","relation":{},"ISSN":["2090-2840","2090-2859"],"issn-type":[{"value":"2090-2840","type":"print"},{"value":"2090-2859","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}