FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2040245013> ?p ?o ?g. }

• W2040245013 endingPage "470" @default.
• W2040245013 startingPage "465" @default.
• W2040245013 abstract "Cost and radiation risk have prompted intense examination of trauma patient imaging. A proposed decision instrument (DI) for the use of chest computed tomography (CT), (CCT) in blunt trauma patients includes thoracic spine (TS) tenderness, altered mental status (AMS) and distracting painful injury (DPI) as potential predictor variables. TS CT is a separate, costly study whose value is currently ill-defined. The objective of this study is to determine test characteristics of these predictor variables alone, and in combination, to derive a TS injury DI.Prospective cohort study of blunt trauma patients age > 14 in a Level I Trauma Center who had either CCT or TS CT.Of 1,798 blunt trauma patients, 1,174 (65.3%) had CCT, and 46 (2.6%) had a TS CT at physician discretion. CCT identified 58 TS injuries in 1,220 patients (4.8%). For 1,032 patients without AMS, 18/35 had TS tenderness, for sensitivity of 51.4%, specificity 84.7%, positive (PPV) and negative predictive values (NPV) of 10.5% and 98.0%. Positive likelihood ratio (+LR) was 3.35, with negative (-LR) 0.57. Among the 58 TS injuries, 23 had AMS for sensitivity of 39.7%, with other test characteristics of 85.8%, 12.2%, 96.6%, with +LR 2.79 and -LR 0.70. Thirty-eight of 58 had DPI, for sensitivity 65.5%, with other test characteristics 65.7%, 8.7%, and 97.4%, with +LR 1.91 and -LR 0.52. Combining 3 predictor variables into a proposed DI found 56/58 injuries for test characteristics of 96.6% (95% CI 88.1-99.6%), 49.1% (46.1-52.0%), 8.6% (6.6-11.1%) and 99.7% (CI 98.7-100%), with +LR 1.90 (1.76-2.04) and -LR 0.07 (0.02-0.28). If validated, the DI would exclude 572/1,220 CCT patients from separate TS CT (46.9%, CI 44.1-49.7%), and 141/511 (27.6%, CI 23.8-31.7%) patients who actually had TS CT in our cohort. Medicare payment at our center for sagittal reconstructions of TS CT is $280 for professional plus technical charges ($3,312 per study). The DI, if validated, would save $39,000-$160,000 in TS imaging payments.TS CT is low yield and costly. Patients who are alert, have no TS tenderness and no DPI have a very low likelihood of TS injury (NPV 99.7% 95% CI lower limit 98.7%) with -LR=0.07, 95% CI upper limit 0.28). Avoiding TS CT may save considerable charges and payments." @default.
• W2040245013 created "2016-06-24" @default.
• W2040245013 creator A5005127508 @default.
• W2040245013 creator A5025094659 @default.
• W2040245013 creator A5035081319 @default.
• W2040245013 creator A5043877757 @default.
• W2040245013 creator A5048492805 @default.
• W2040245013 creator A5069386637 @default.
• W2040245013 creator A5071014788 @default.
• W2040245013 creator A5082453803 @default.
• W2040245013 creator A5091765219 @default.
• W2040245013 date "2014-07-07" @default.
• W2040245013 modified "2023-09-27" @default.
• W2040245013 title "Yield and Clinical Predictors of Thoracic Spine Injury from Chest Computed Tomography for Blunt Trauma" @default.
• W2040245013 cites W1970373495 @default.
• W2040245013 cites W1972900203 @default.
• W2040245013 cites W1996093272 @default.
• W2040245013 cites W2007774024 @default.
• W2040245013 cites W2022358196 @default.
• W2040245013 cites W2043080042 @default.
• W2040245013 cites W2049062611 @default.
• W2040245013 cites W2052712687 @default.
• W2040245013 cites W2061649485 @default.
• W2040245013 cites W2078796136 @default.
• W2040245013 cites W2152956618 @default.
• W2040245013 cites W2159352658 @default.
• W2040245013 cites W2335210248 @default.
• W2040245013 doi "https://doi.org/10.5811/westjem.2014.4.20672" @default.
• W2040245013 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4100853" @default.
• W2040245013 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25035753" @default.
• W2040245013 hasPublicationYear "2014" @default.
• W2040245013 type Work @default.
• W2040245013 sameAs 2040245013 @default.
• W2040245013 citedByCount "5" @default.
• W2040245013 countsByYear W20402450132015 @default.
• W2040245013 countsByYear W20402450132019 @default.
• W2040245013 countsByYear W20402450132022 @default.
• W2040245013 crossrefType "journal-article" @default.
• W2040245013 hasAuthorship W2040245013A5005127508 @default.
• W2040245013 hasAuthorship W2040245013A5025094659 @default.
• W2040245013 hasAuthorship W2040245013A5035081319 @default.
• W2040245013 hasAuthorship W2040245013A5043877757 @default.
• W2040245013 hasAuthorship W2040245013A5048492805 @default.
• W2040245013 hasAuthorship W2040245013A5069386637 @default.
• W2040245013 hasAuthorship W2040245013A5071014788 @default.
• W2040245013 hasAuthorship W2040245013A5082453803 @default.
• W2040245013 hasAuthorship W2040245013A5091765219 @default.
• W2040245013 hasBestOaLocation W20402450131 @default.
• W2040245013 hasConcept C105698618 @default.
• W2040245013 hasConcept C126322002 @default.
• W2040245013 hasConcept C126838900 @default.
• W2040245013 hasConcept C144494922 @default.
• W2040245013 hasConcept C167135981 @default.
• W2040245013 hasConcept C181299854 @default.
• W2040245013 hasConcept C188816634 @default.
• W2040245013 hasConcept C190385971 @default.
• W2040245013 hasConcept C194828623 @default.
• W2040245013 hasConcept C2777379000 @default.
• W2040245013 hasConcept C2777521253 @default.
• W2040245013 hasConcept C2780110798 @default.
• W2040245013 hasConcept C2989005 @default.
• W2040245013 hasConcept C3017944768 @default.
• W2040245013 hasConcept C3019719930 @default.
• W2040245013 hasConcept C53789813 @default.
• W2040245013 hasConcept C544519230 @default.
• W2040245013 hasConcept C71924100 @default.
• W2040245013 hasConcept C85004164 @default.
• W2040245013 hasConceptScore W2040245013C105698618 @default.
• W2040245013 hasConceptScore W2040245013C126322002 @default.
• W2040245013 hasConceptScore W2040245013C126838900 @default.
• W2040245013 hasConceptScore W2040245013C144494922 @default.
• W2040245013 hasConceptScore W2040245013C167135981 @default.
• W2040245013 hasConceptScore W2040245013C181299854 @default.
• W2040245013 hasConceptScore W2040245013C188816634 @default.
• W2040245013 hasConceptScore W2040245013C190385971 @default.
• W2040245013 hasConceptScore W2040245013C194828623 @default.
• W2040245013 hasConceptScore W2040245013C2777379000 @default.
• W2040245013 hasConceptScore W2040245013C2777521253 @default.
• W2040245013 hasConceptScore W2040245013C2780110798 @default.
• W2040245013 hasConceptScore W2040245013C2989005 @default.
• W2040245013 hasConceptScore W2040245013C3017944768 @default.
• W2040245013 hasConceptScore W2040245013C3019719930 @default.
• W2040245013 hasConceptScore W2040245013C53789813 @default.
• W2040245013 hasConceptScore W2040245013C544519230 @default.
• W2040245013 hasConceptScore W2040245013C71924100 @default.
• W2040245013 hasConceptScore W2040245013C85004164 @default.
• W2040245013 hasIssue "4" @default.
• W2040245013 hasLocation W20402450131 @default.
• W2040245013 hasLocation W20402450132 @default.
• W2040245013 hasLocation W20402450133 @default.
• W2040245013 hasLocation W20402450134 @default.
• W2040245013 hasLocation W20402450135 @default.
• W2040245013 hasLocation W20402450136 @default.
• W2040245013 hasOpenAccess W2040245013 @default.
• W2040245013 hasPrimaryLocation W20402450131 @default.
• W2040245013 hasRelatedWork W1967998481 @default.
• W2040245013 hasRelatedWork W2023542851 @default.
• W2040245013 hasRelatedWork W2033490533 @default.

• next