Journal article
External signs of trauma: A poor predictor of injury in found down and ground level falls
The American journal of surgery, v 220(5), pp 1300-1303
01 Nov 2020
PMID: 32650978
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: The significance of external signs (EST) and signs or symptoms of trauma (SS) after ground level falls or found down (GLF/FD) is unclear. We hypothesized that EST and SS were associated with injury.
Methods: Patients with GLF/FD were retrospectively studied. SS was defined as having any EST, tenderness, or subjective complaint. Outcomes were any significant finding (SF) and Injury Severity Score (ISS) > 8. Diagnostic accuracy of EST and SS were assessed with positive and negative likelihood ratios (LR+, LR-).
Results: Of 578 patients, 66% and 95% had EST and SS respectively. For EST, LR+ and LR-were 1.14 and 0.76 (SF), and 1.21 and 0.64 (ISS>8). For SS, LR+ and LR-were 1.07 and 0.19 (SF), and 1.03 and 0.49 (ISS>8).
Conclusion: EST lacked sufficient diagnostic accuracy for SF and ISS>8. Lack of SS was reasonably accurate in ruling out SF but not ISS>8. Triage utilizing EST alone for GLF/FD is not useful. (C) 2020 Elsevier Inc. All rights reserved.
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Details
- Title
- External signs of trauma: A poor predictor of injury in found down and ground level falls
- Creators
- Shannon Marie Foster - Reading HospitalAlison Muller - Reading HospitalPamela Jones - Reading HospitalLaura Engle - Reading HospitalAlicia Sherwood - Reading HospitalThomas A. Geng - Reading HospitalAdrian W. Ong - Reading Hospital
- Publication Details
- The American journal of surgery, v 220(5), pp 1300-1303
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000596699200006
- Scopus ID
- 2-s2.0-85087664752
- Other Identifier
- 991022020736404721
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- Web of Science research areas
- Surgery