Validity of the Ottawa rules for X-ray request in ankle and midfoot injuries in paediatric patients

被引：0
作者：
Raúl Parrón Cambero
Félix Tomé Bermejo
Andrés Barriga Martín
Juan A. Herrera Molpeceres
Elisa Poveda
Samuel Pajares Cabanillas
机构：
[1] Hospital Virgen de la Salud,Department of Orthopaedic and Trauma Surgery
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2008年 / 18卷
关键词：
Ottawa rules; Midfoot; Foot; Ankle; X-ray request;
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学科分类号：
摘要：
The aim of the study was to analyse the validity of the Ottawa rules for the X-ray request in A&E for ankle and midfoot injuries in paediatric patients. An observational and prospective study was carried out applying the Ottawa rules to patients attending the Accident and Emergency (A&E) department in Toledo, due to ankle or midfoot injuries from the 1 July 2003 to the 1 February 2004. A total number of 190 patients were included in this study and 29 of these were found to have a fracture. Assessment of the ankle and/or midfoot injuries was made by the orthopaedic junior or senior staff, applying the Ottawa rules. An X-ray request was made for every patient seen, regardless of the Ottawa rules results. The results showed that the sensitivity for the Ottawa rules was 96.9% (95% CI, 94–99.1%). The negative predictive value was 96.6% (95% CI, 96.5–100.1%). The specificity was 36% (95% CI, 29.2–42.9%). The positive predictive value was 21.4% (95% CI, 15.5–27.2%). It can be concluded that The Ottawa rules make up valid instrument for the decision of X-ray request in patients under the age of 18 with ankle and/or midfoot injuries.
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