Matches in SemOpenAlex for { <https://semopenalex.org/work/W2045807811> ?p ?o ?g. }
Showing items 1 to 58 of
58
with 100 items per page.
- W2045807811 abstract "Study objectives: Ankle injuries are commonly treated in the emergency department (ED). There are several published decision rules to aid the emergency physician to determine which patients require radiographs as part of their evaluation. Recently, ultrasonography has been used to evaluate fractures. The purpose of this study is to determine whether emergency physicians with minimal training could accurately determine the presence or absence of lateral ankle fractures in the ED with the use of a bedside ultrasonography. We report preliminary data of an ongoing study. Methods: A convenience sample of adult patients who presented to the ED after trauma and presenting with tenderness and swelling over the lateral malleolus was eligible for inclusion. Verbal consent was obtained. Emergency attending physicians and resident physicians who underwent a 10-minute discussion and demonstration of the use of ultrasonography to evaluate lateral malleolar injuries performed the studies. The physicians were asked after performing the ultrasonography whether they believed there was a fracture. Their responses were then compared with the radiologist's interpretation of the radiograph. Results: There were 12 ultrasonographic examinations performed by emergency attending physicians; 8 were interpreted as negative, and none of these had fractures identified on radiograph. Four were interpreted as positive, 3 had fractures identified on radiograph (positive predictive value 75%, negative predictive value 100%, sensitivity 100%, specificity 88.9%). Of the 16 resident ultrasonographic scans, 12 were interpreted as negative; 1 had a fracture identified on radiograph. Four were interpreted as positive, and 3 of these had fractures identified on radiograph (positive predictive value 75%, negative predictive value 91%, sensitivity 75%, specificity 91%). Conclusion: Preliminary results appear to demonstrate good negative predictive value for detection of lateral ankle fractures. Greater numbers are needed to draw conclusions, and this study is ongoing. However, ultrasonography in combination with physical examination may show promise in identifying which patients may forgo radiograph." @default.
- W2045807811 created "2016-06-24" @default.
- W2045807811 creator A5019311155 @default.
- W2045807811 creator A5028604435 @default.
- W2045807811 creator A5067225416 @default.
- W2045807811 creator A5078857384 @default.
- W2045807811 date "2004-10-01" @default.
- W2045807811 modified "2023-09-26" @default.
- W2045807811 title "Emergency department use of ultrasonography to detect lateral ankle fractures" @default.
- W2045807811 doi "https://doi.org/10.1016/j.annemergmed.2004.07.203" @default.
- W2045807811 hasPublicationYear "2004" @default.
- W2045807811 type Work @default.
- W2045807811 sameAs 2045807811 @default.
- W2045807811 citedByCount "3" @default.
- W2045807811 countsByYear W20458078112013 @default.
- W2045807811 countsByYear W20458078112021 @default.
- W2045807811 crossrefType "journal-article" @default.
- W2045807811 hasAuthorship W2045807811A5019311155 @default.
- W2045807811 hasAuthorship W2045807811A5028604435 @default.
- W2045807811 hasAuthorship W2045807811A5067225416 @default.
- W2045807811 hasAuthorship W2045807811A5078857384 @default.
- W2045807811 hasConcept C118552586 @default.
- W2045807811 hasConcept C126322002 @default.
- W2045807811 hasConcept C126838900 @default.
- W2045807811 hasConcept C141071460 @default.
- W2045807811 hasConcept C2778640784 @default.
- W2045807811 hasConcept C2780724011 @default.
- W2045807811 hasConcept C3019719930 @default.
- W2045807811 hasConcept C36454342 @default.
- W2045807811 hasConcept C529618451 @default.
- W2045807811 hasConcept C71924100 @default.
- W2045807811 hasConceptScore W2045807811C118552586 @default.
- W2045807811 hasConceptScore W2045807811C126322002 @default.
- W2045807811 hasConceptScore W2045807811C126838900 @default.
- W2045807811 hasConceptScore W2045807811C141071460 @default.
- W2045807811 hasConceptScore W2045807811C2778640784 @default.
- W2045807811 hasConceptScore W2045807811C2780724011 @default.
- W2045807811 hasConceptScore W2045807811C3019719930 @default.
- W2045807811 hasConceptScore W2045807811C36454342 @default.
- W2045807811 hasConceptScore W2045807811C529618451 @default.
- W2045807811 hasConceptScore W2045807811C71924100 @default.
- W2045807811 hasLocation W20458078111 @default.
- W2045807811 hasOpenAccess W2045807811 @default.
- W2045807811 hasPrimaryLocation W20458078111 @default.
- W2045807811 hasRelatedWork W1967810335 @default.
- W2045807811 hasRelatedWork W2061971901 @default.
- W2045807811 hasRelatedWork W2319224656 @default.
- W2045807811 hasRelatedWork W2614622778 @default.
- W2045807811 hasRelatedWork W2891824931 @default.
- W2045807811 hasRelatedWork W2897313121 @default.
- W2045807811 hasRelatedWork W2900267050 @default.
- W2045807811 hasRelatedWork W3000406655 @default.
- W2045807811 hasRelatedWork W3159417240 @default.
- W2045807811 hasRelatedWork W4221034067 @default.
- W2045807811 isParatext "false" @default.
- W2045807811 isRetracted "false" @default.
- W2045807811 magId "2045807811" @default.
- W2045807811 workType "article" @default.