Repository of Research and Investigative Information

Repository of Research and Investigative Information

Bam University of Medical Sciences

Thoracic Injury Rule out Criteria in Prediction of Traumatic Intra-thoracic Injuries; a Validation Study

(2017) Thoracic Injury Rule out Criteria in Prediction of Traumatic Intra-thoracic Injuries; a Validation Study. Emergency. p. 5. ISSN 2345-4571

Full text not available from this repository.

Official URL: http://apps.lib.wosg.ir/InboundService.do?Func=Fra...

Abstract

Introduction: Doing Chest X Ray (CXR) for all trauma patients is not efficient and cost effective due to its low diagnostic value. The present study was designed aiming to evaluate the diagnostic accuracy of thoracic injury rule out criteria (TIRC) in prediction of traumatic intra-thoracic injuries and need for CXR. Methods: The present study is a prospective cross-sectional study that has been carried out to evaluate the accuracy of TIRC model in screening blunt multiple trauma patients in need of CXR for ruling out intra-thoracic injuries. Results: 1518 patients with the mean age of 33.53 +/- 15.42 years were enrolled (80.4 male). The most common mechanisms of trauma were motor car accident (78.8) and falling (13.6). Area under the ROC curve, sensitivity, and specificity of model in detection of traumatic thoracic injuries was 0.95 (95 CI: 0.93 - 0.97), 100 (95 CI: 87.0 -100), and 80.1 (95 CI: 78.0 - 82.1), respectively. Brier score for TIRC was 0.02 and its scaled reliability was 0.0002. Conclusion: Findings of the present study showed that TIRC has high accuracy in prediction of traumatic intra-thoracic injuries and screening patients in need of CXR.

Item Type: Article
Keywords: Thoracic injuries decision support techniques mass chest x-ray diagnosis ventilator-associated pneumonia hospital-acquired pneumonia intensive-care units surveillance prevalence risk Emergency Medicine
Divisions:
Page Range: p. 5
Journal or Publication Title: Emergency
Journal Index: ISI
Volume: 5
Number: 1
ISSN: 2345-4571
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mubam.ac.ir/id/eprint/634

Actions (login required)

View Item View Item