A study to develop clinical decision rules for the use of radiography in wrist trauma: Karadeniz wrist rules

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dc.contributor.authorKaraca, Yunus
dc.contributor.authorTurkmen, Suha
dc.contributor.authorCansu, Aysegul
dc.contributor.authorBaki, Mehmet Emre
dc.contributor.authorEroglu, Oguz
dc.contributor.authorTatli, Ozgur
dc.contributor.authorTuredi, Suleyman
dc.date.accessioned2020-06-25T18:16:04Z
dc.date.available2020-06-25T18:16:04Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.descriptionBAYDIN, AHMET/0000-0003-4987-0878; Tatli, Ozgur/0000-0003-0263-7630; Turedi, Suleyman/0000-0002-6500-3961
dc.description.abstractIntroduction: The aim of this study was to evaluate patients presenting to the emergency department (ED) with wrist trauma using physical examination findings and functional tests and to identify findings with high sensitivity and specificity among the parameters assessed in patients with fracture in the wrist. The ultimate objective was thus to establish a reliable and widely usable clinical decision rule for determining the necessity of radiography in wrist trauma. Methods: This prospective, multicenter study was performed in 8 hospitals. The relation between radiologically determined fracture and clinical findings consisting of physical examination findings and functional tests was assessed in terms of whether or not these were markers of radiography requirement, with the aim of identifying predictive values for fracture. Results: A total of 603 eligible trauma patients presented to the participating EDs during the study period. Fracture was identified in 24.5% of patients (n= 148). The 4-way combination with the highest sensitivity was identified as axial compression and the positive distal radioulnar drawer test, and pain with radial deviation and dorsal flexion. Sensitivity at distal ulna palpation was added as a fifth parameter, and sensitivity and negative predictive value thus increased to 100%. Conclusion: With their 100% sensitivity and 100% negative predictive values, the Karadeniz wrist rules may represent a clinical decision rule that can be used in practice in EDs. If all 5 findings are negative, there is no indication for wrist radiography. (C) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ajem.2016.07.013
dc.identifier.endpage2078en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue11en_US
dc.identifier.pmid27450389
dc.identifier.scopus2-s2.0-84994157883
dc.identifier.scopusqualityQ1
dc.identifier.startpage2074en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2016.07.013
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6411
dc.identifier.volume34en_US
dc.identifier.wosWOS:000389517200004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleA study to develop clinical decision rules for the use of radiography in wrist trauma: Karadeniz wrist rulesen_US
dc.typeArticle

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