Journal of Emergencies, Trauma, and Shock
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ORIGINAL ARTICLE
Year : 2011  |  Volume : 4  |  Issue : 4  |  Page : 443-445

Diagnostic accuracy of bedside emergency ultrasound screening for fractures in pediatric trauma patients


1 Departments of Surgery, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
2 Department of Emergency Medicine, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
3 Department of Orthopedics, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
4 Department of Emergency Medicine, University of South Florida, Tampa, USA

Correspondence Address:
Sanjeev Bhoi
Department of Emergency Medicine, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.86625

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Background : Bedside ultrasound (BUS) can effectively identify fractures in the emergency department (ED). Aim: To assess the diagnostic accuracy of BUS for fractures in pediatric trauma patients. Setting and Design : Prospective observational study conducted in the ED. Material and Methods : Pediatric patients with upper and lower limb injuries requiring radiological examination were included. BUS examinations were done by emergency physicians who had undergone a brief training. X-rays were reviewed for the presence of fracture and the results of BUS and radiography were compared. Statistical analysis: STATA version 11 was used for statistical analysis of the data. Results : Forty-one patients were enrolled in the study. The sensitivity of the BUS in detecting fracture was 89% [95% confidence interval (CI): 51% to 99%] and the specificity was 100% (95% CI: 87% to 100%). The positive predictive value of BUS was 100% and negative predictive value was 97%. Conclusion : BUS can be utilized by emergency physicians after brief training to accurately identify long bone fractures in the pediatric age-group.


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