Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury

被引:27
作者
Rainer, TH
Griffith, JF
Lam, E
Lam, PKW
Metreweli, C
机构
[1] Chinese Univ Hong Kong, Accid & Emergency Med Acad Unit, Shatin, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Dept Diagnost Radiol & Organ Imaging, Shatin, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Ctr Clin Trials & Epidemiol Res, Shatin, Hong Kong, Peoples R China
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2004年 / 56卷 / 06期
关键词
chest injury; diagnostic imaging; pain; trauma; ultrasonography; ultrasound; wounds; injuries;
D O I
10.1097/01.TA.0000075800.65485.48
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: This study was designed to compare ultrasonography, clinical findings, and radiography in the detection of rib and sternal fractures. Methods: In a prospective study, 88 patients presenting consecutively to an emergency department with isolated blunt chest injury of mild to moderate force were recruited. Results: Ultrasonography yielded a sensitivity of 80.3 (95% confidence interval [CI], 69.5-88.5) for detecting chest wall fractures compared with sensitivities of 26.0 (95% CI, 15.8-36.3) for clinical acumen and 23.7 (95% CI, 14.7-34.8) for radiography. Conclusion: Early ultrasonography is more accurate than clinical and radiologic evaluation at detecting rib and sternal fractures.
引用
收藏
页码:1211 / 1213
页数:3
相关论文
共 50 条
[11]   Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit [J].
Martinez-Molina, Juan-Ambrosio ;
Martinez-Gonzalez, Miguel angel ;
Santacana, Marc Vives ;
Delgado, Ariel Duilio Gonzalez ;
Jaka, Karlos Reviejo ;
Monedero, Pablo .
ANALES DEL SISTEMA SANITARIO DE NAVARRA, 2024, 47 (03)
[12]   Blunt thoracic trauma: role of chest radiography and comparison with CT — findings and literature review [J].
Karunesh Polireddy ;
Carrie Hoff ;
Nikhar P. Kinger ;
Andrew Tran ;
Kiran Maddu .
Emergency Radiology, 2022, 29 :743-755
[13]   A Prospective Comparison of Diaphragmatic Ultrasound and Chest Radiography to Determine Endotracheal Tube Position in a Pediatric Emergency Department [J].
Kerrey, Benjamin Thomas ;
Geis, Gary Lee ;
Quinn, Andrea Megan ;
Hornung, Richard William ;
Ruddy, Richard Michael .
PEDIATRICS, 2009, 123 (06) :E1039-E1044
[14]   Prospective Evaluation of Early Follow-up Chest Radiography after Penetrating Thoracic Injury [J].
Berg, Regan J. ;
Inaba, Kenji ;
Recinos, Gustavo ;
Barmparas, Galinos ;
Teixeira, Pedro G. ;
Georgiou, Chrysanthos ;
Shatz, David ;
Rhee, Peter ;
Demetriades, Demetrios .
WORLD JOURNAL OF SURGERY, 2013, 37 (06) :1286-1290
[15]   Feasibility of emergency department point-of-care ultrasound for rib fracture diagnosis in minor thoracic injury [J].
Lalande, Elizabeth ;
Guimont, Chantal ;
Emond, Marcel ;
Parent, Marc Charles ;
Topping, Claude ;
Kuimi, Brice Lionel Batomen ;
Boucher, Valerie ;
Le Sage, Natalie .
CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2017, 19 (03) :213-219
[16]   Clinical Yield of Routine Chest Radiography after Ultrasound-Guided Thoracentesis [J].
Singh, Kush ;
Balthazar, Patricia ;
Duszak, Richard, Jr. ;
Horny, Michal ;
Hanna, Tarek N. .
ACADEMIC RADIOLOGY, 2020, 27 (10) :1379-1384
[17]   Diagnostic value of chest radiography in the early management of severely injured patients with mediastinal vascular injury [J].
Spering, Christopher ;
Brauns, Soehren Dirk ;
Lefering, Rolf ;
Bouillon, Bertil ;
Dobroniak, Corinna Carla ;
Fuezesi, Laszlo ;
Seitz, Mark-Tilmann ;
Jaeckle, Katharina ;
Dresing, Klaus ;
Lehmann, Wolfgang ;
Frosch, Stephan .
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, 2022, 48 (05) :4223-4231
[18]   Comparison of Diagnostic Accuracy of NEXUS Chest and Thoracic Injury Rule-Out Criteria in Patients with Blunt Trauma; A Cross-Sectional Study [J].
Norouzi, Nona ;
Amini, Afshin ;
Hatamabadi, Hamidreza .
TRAUMA MONTHLY, 2019, 24 (03)
[19]   Clinical Significance of Conventional Rib Series in Patients with Minor Thoracic Trauma [J].
Hoffstetter, P. ;
Dornia, C. ;
Wagner, M. ;
Al Suwaidi, M. H. ;
Niessen, C. ;
Dendl, L. M. ;
Stroszczynski, C. ;
Schreyer, A. G. .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2014, 186 (09) :876-880
[20]   A meta-analysis of the diagnostic accuracy of chest ultrasound for the diagnosis of occult penetrating cardiac injuries in hemodynamically stable patients with penetrating thoracic trauma [J].
Manzano-Nunez, Ramiro ;
Gomez, Alexandra ;
Espitia, David ;
Sierra-Ruiz, Melibea ;
Gonzalez, Jessica ;
Rodriguez-Narvaez, Jose G. ;
Castillo, Andrea C. ;
Gonzalez, Alejandro ;
Orjuela, Jose ;
Orozco-Martin, Viviana ;
Bernal, Felipe ;
Giron, Felipe ;
Rios, Angela C. ;
Carranza, Paola ;
Gonzalez-Hadad, Adolfo ;
Garcia-Perdomo, Herney A. ;
Garcia, Alberto F. .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2021, 90 (02) :388-395