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Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury

Rainer, Timothy, Griffith, James F., Lam, Eric, Lam, Peggo K. W. and Metreweli, Constantine 2004. Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury. Journal of Trauma: Injury, Infection, and Critical Care 56 (6) , pp. 1211-1213. 10.1097/01.TA.0000075800.65485.48

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Abstract

Background: This study was designed to compare ultrasonography, clinical findings, and radiography in the detection of rib and sternal fractures. Methods: In a prospective study, 88 patients presenting consecutively to an emergency department with isolated blunt chest injury of mild to moderate force were recruited. Results: Ultrasonography yielded a sensitivity of 80.3 (95% confidence interval [CI], 69.5–88.5) for detecting chest wall fractures compared with sensitivities of 26.0 (95% CI, 15.8–36.3) for clinical acumen and 23.7 (95% CI, 14.7–34.8) for radiography. Conclusion: Early ultrasonography is more accurate than clinical and radiologic evaluation at detecting rib and sternal fractures.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Chest injury, Diagnostic imaging, Pain, Trauma, Ultrasonography, Ultrasound, Wounds, Injuries
Publisher: Lippincott, Williams & Wilkins
ISSN: 0022-5282
Date of Acceptance: 21 April 2003
Last Modified: 04 Jun 2017 09:16
URI: http://orca-mwe.cf.ac.uk/id/eprint/92882

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