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The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries
INTRODUCTION: Rapid diagnosis of traumatic intrathoracic injuries leads to improvement in patient management. This study was designed to evaluate the diagnostic value of chest radiography (CXR) in comparison to chest computed tomography (CT) scan in diagnosis of traumatic intrathoracic injuries. MET...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shahid Beheshti University of Medical Sciences
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007908/ https://www.ncbi.nlm.nih.gov/pubmed/27800537 |
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author | Abedi Khorasgani, Maryam Shahrami, Ali Shojaee, Majid Alimohammadi, Hossein Amini, Afshin Hatamabadi, Hamid Reza |
author_facet | Abedi Khorasgani, Maryam Shahrami, Ali Shojaee, Majid Alimohammadi, Hossein Amini, Afshin Hatamabadi, Hamid Reza |
author_sort | Abedi Khorasgani, Maryam |
collection | PubMed |
description | INTRODUCTION: Rapid diagnosis of traumatic intrathoracic injuries leads to improvement in patient management. This study was designed to evaluate the diagnostic value of chest radiography (CXR) in comparison to chest computed tomography (CT) scan in diagnosis of traumatic intrathoracic injuries. METHODS: Participants of this prospective diagnostic accuracy study included multiple trauma patients over 15 years old with stable vital admitted to emergency department (ED) during one year. The correlation of CXR and CT scan findings in diagnosis of traumatic intrathoracic injuries was evaluated using SPSS 20. Screening characteristics of CXR were calculated with 95% CI. RESULTS: 353 patients with the mean age of 35.2 ± 15.8 were evaluated (78.8% male). Age 16-30 years with 121 (34.2%), motorcycle riders with 104 (29.5%) cases and ISS < 12 with 185 (52.4%) had the highest frequency among patients. Generally, screening performance characteristics of chest in diagnosis of chest traumatic injuries were as follows: sensitivity 50.3 (95% CI: 44.8 – 55.5), specificity 98.9 (95% CI: 99.5 – 99.8), PPV 97.8 (95% CI: 91.5 – 99.6), NPV 66.4 (95% CI: 60.2 – 72.03), PLR 44.5 (95% CI: 11.3 175.3), and NLR 0.5 (95% CI: 0.4 – 0.6). Accuracy of CXR in diagnosis of traumatic intrathoracic injuries was 74.5 (95% CI: 69.6 – 78.9) and its area under the ROC curve was 74.6 (95% CI: 69.3 – 79.8). CONCLUSION: The screening performance characteristics of CXR in diagnosis of traumatic intrathoracic injuries were higher than 90% in all pathologies except pneumothorax (50.3%). It seems that this matter has a great impact on the general screening characteristics of the test (74.3% accuracy and 50.3%sensitivity). It seems that, plain CXR should be used as an initial screening tool more carefully. |
format | Online Article Text |
id | pubmed-5007908 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Shahid Beheshti University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-50079082016-11-01 The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries Abedi Khorasgani, Maryam Shahrami, Ali Shojaee, Majid Alimohammadi, Hossein Amini, Afshin Hatamabadi, Hamid Reza Emerg (Tehran) Original Article INTRODUCTION: Rapid diagnosis of traumatic intrathoracic injuries leads to improvement in patient management. This study was designed to evaluate the diagnostic value of chest radiography (CXR) in comparison to chest computed tomography (CT) scan in diagnosis of traumatic intrathoracic injuries. METHODS: Participants of this prospective diagnostic accuracy study included multiple trauma patients over 15 years old with stable vital admitted to emergency department (ED) during one year. The correlation of CXR and CT scan findings in diagnosis of traumatic intrathoracic injuries was evaluated using SPSS 20. Screening characteristics of CXR were calculated with 95% CI. RESULTS: 353 patients with the mean age of 35.2 ± 15.8 were evaluated (78.8% male). Age 16-30 years with 121 (34.2%), motorcycle riders with 104 (29.5%) cases and ISS < 12 with 185 (52.4%) had the highest frequency among patients. Generally, screening performance characteristics of chest in diagnosis of chest traumatic injuries were as follows: sensitivity 50.3 (95% CI: 44.8 – 55.5), specificity 98.9 (95% CI: 99.5 – 99.8), PPV 97.8 (95% CI: 91.5 – 99.6), NPV 66.4 (95% CI: 60.2 – 72.03), PLR 44.5 (95% CI: 11.3 175.3), and NLR 0.5 (95% CI: 0.4 – 0.6). Accuracy of CXR in diagnosis of traumatic intrathoracic injuries was 74.5 (95% CI: 69.6 – 78.9) and its area under the ROC curve was 74.6 (95% CI: 69.3 – 79.8). CONCLUSION: The screening performance characteristics of CXR in diagnosis of traumatic intrathoracic injuries were higher than 90% in all pathologies except pneumothorax (50.3%). It seems that this matter has a great impact on the general screening characteristics of the test (74.3% accuracy and 50.3%sensitivity). It seems that, plain CXR should be used as an initial screening tool more carefully. Shahid Beheshti University of Medical Sciences 2016-11 /pmc/articles/PMC5007908/ /pubmed/27800537 Text en Copyright © 2016 Shahid Beheshti University of Medical Sciences. All rights reserved. This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0). |
spellingShingle | Original Article Abedi Khorasgani, Maryam Shahrami, Ali Shojaee, Majid Alimohammadi, Hossein Amini, Afshin Hatamabadi, Hamid Reza The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title | The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title_full | The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title_fullStr | The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title_full_unstemmed | The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title_short | The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries |
title_sort | accuracy of plain radiography in detection of traumatic intrathoracic injuries |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007908/ https://www.ncbi.nlm.nih.gov/pubmed/27800537 |
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