thoracic injury rule out criteria in prediction of traumatic intra-thoracic injuries; a validation study

نویسندگان

setareh asgarzadeh clinical research development center, amir-almomenin hospital, islamic azad university, tehran medical sciences branch, tehran, iran.

bahareh feizi emergency department, pasteur hospital, bam university of medical sciences, bam, iran.

farhad sarabandi clinical research development center, amir-almomenin hospital, islamic azad university, tehran medical sciences branch, tehran, iran.

morteza asgarzadeh harvard t.h. chan school of public health, 667 huntington avenue, boston, ma, 02115.

چکیده

introduction: doing chest x ray (cxr) for all trauma patients is not efficient and cost effective due to its low diagnostic value. the present study was designed aiming to evaluate the diagnostic accuracy of thoracic injury rule out criteria (tirc) in prediction of traumatic intra-thoracic injuries and need for cxr.  method: the present study is a prospective cross-sectional study that has been carried out to evaluate the accuracy of tirc model in screening blunt multiple trauma patients in need of cxr for ruling out intra-thoracic injuries.  results: 1518 patients with the mean age of 33.53 ± 15.42 years were enrolled (80.4% male). the most common mechanisms of trauma were motor car accident (78.8%) and falling (13.6%). area under the roc curve, sensitivity, and specificity of model in detection of traumatic thoracic injuries was 0.95 (95% ci: 0.93 – 0.97), 100 (95% ci: 87.0 – 100), and 80.1 (95% ci: 78.0 – 82.1), respectively. brier score for tirc was 0.02 and its scaled reliability was 0.0002.  conclusion: findings of the present study showed that tirc has high accuracy in prediction of traumatic intra-thoracic injuries and screening patients in need of cxr.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Thoracic Injury Rule out Criteria in Prediction of Traumatic Intra-thoracic Injuries; a Validation Study

INTRODUCTION Doing Chest X Ray (CXR) for all trauma patients is not efficient and cost effective due to its low diagnostic value. The present study was designed aiming to evaluate the diagnostic accuracy of thoracic injury rule out criteria (TIRC) in prediction of traumatic intra-thoracic injuries and need for CXR. METHOD The present study is a prospective cross-sectional study that has been ...

متن کامل

Traumatic Thoracic Aortic Injuries

T raumatic blunt injury to the thoracic aorta is one of the most formidable challenges surgeons face. This devastating condition can lead to immediate death at the time of injury in the majority of cases, due in part to either aortic transection or acute rupture.1 Although blunt aortic injury accounts for less than 1% of all adult level I trauma center admissions, this condition represents the ...

متن کامل

Traumatic Thoracic Aortic Injury

T raumatic blunt injury to the thoracic aorta is a devastating condition that can lead to immediate death at the time of injury in the majority of cases, due in part to either aortic transection or acute rupture.1 Although blunt aortic injury accounts for fewer than 1% of all adult level I trauma center admissions, this condition represents the second most common cause of death due to blunt inj...

متن کامل

Endovascular management of traumatic thoracic aortic injuries.

BACKGROUND Endovascular surgery has recently been extended to the treatment of blunt traumatic aortic injuries. Since most of these injuries occur at the aortic isthmus, graft fixation in proximity to the origin of the left subclavian artery (LSA) has been a concern. Covering the LSA with graft fabric lengthens the proximal fixation site and should minimize proximal endoleaks. We therefore wish...

متن کامل

Traumatic injury of the thoracic duct.

Injuries to the thoracic duct are infrequent but may become life-threatening when chylous leakage persists. This report describes 6 patients with such injuries in whom the leakage resolved spontaneously in one, was corrected using microsurgical lymphatic repair or lymphatic-venous anastomosis in two, successfully treated either by ligation of the thoracic duct or insertion of a peritoneovenous ...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
emergency journal

جلد ۴، شماره ۰۹، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023