Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study

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YOUSEFIFARD MAHMOUD; HOSSEINI MOSTAFA; PARVIZI MOHAMMAD REZA

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Journal: Archives of Academic Emergency Medicine Year:2020 | Volume:8 | Issue:1 Page(s): 0-0

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Title

Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study

Author(s)

YOUSEFIFARD MAHMOUD | HOSSEINI MOSTAFA | PARVIZI MOHAMMAD REZA | Issue Writer Certificate

Keywords

Clinical decision rules

reproducibility of results

multiple trauma

sensitivity and specificity

Abstract

Introduction: The value of thoracic injury rule out criteria (TIRC) as a tool for decreasing the number of unnecessary chest radiographs in children has not been evaluated yet. Therefore, the present study was designed as a multi-center study to assess the validity of TIRC model in detection of very low risk children for traumatic intrathoracic injuries. Methods: In this diagnostic accuracy study, clinical data and chest radiographs of 974 children less than 18 years of age (72. 0% boys) who had presented to 5 hospitals, in Iran in 2018 were assessed. Data gathering and interpretation of radiographs were done by two independent researchers in each hospital. In the end, discriminatory power and calibration of the model was assessed with a 95% confidence interval (95% Cl). Results: In the present study, age was not a predicting factor of abnormal findings in radiographs of children and adolescents (p=0. 75); therefore, it was omitted from TIRC model and pediatric TIRC (pTIRC) was designed. Area under the curve of pTIRC rule was 0. 97 (95% CI: 0. 96-0. 98) for prediction of abnormal chest XRay in children and adolescents. The sensitivity and specificity of pTIRC was 100% and 90. 1%, respectively. The calibration of this decision rule had great concordance with the perfect line with a slope of 0. 99 and intercept of 0. 001. There was a 90. 1%reduction in the number of unnecessary chest radiographs when using pTIRC decision rule. Conclusion: pTIRC decision rule was introduced in the present study. pTIRC has excellent performance in identification of traumatic intrathoracic injuries and decreasing the number of unnecessary chest radiographs.

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References

THORACIC INJURY RULE OUT CRITERIA IN PREDICTION OF TRAUMATIC INTRA-THORACIC INJURIES, A VALIDATION STUDY

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APA: Copy

YOUSEFIFARD, MAHMOUD, HOSSEINI, MOSTAFA, & PARVIZI, MOHAMMAD REZA. (2020). Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 8(1), 0-0. SID. https://sid.ir/paper/339877/en

Vancouver: Copy

YOUSEFIFARD MAHMOUD, HOSSEINI MOSTAFA, PARVIZI MOHAMMAD REZA. Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2020;8(1):0-0. Available from: https://sid.ir/paper/339877/en

IEEE: Copy

MAHMOUD YOUSEFIFARD, MOSTAFA HOSSEINI, and MOHAMMAD REZA PARVIZI, “Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 8, no. 1, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/339877/en

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