The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children
The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children
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DOI：
10.1097/01.ta.0000068992.01030.a8
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发表时间：
2003-06-01
影响因子：
--
通讯作者：
Strain, JD
中科院分区：
文献类型：
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作者：
Barsness, KA;Cha, ES;Strain, JD
背景：肋骨骨折与非意外创伤（NAT）和严重创伤密切相关。本研究的目的是评估儿童肋骨骨折，以确定(1)肋骨骨折在确定NAT时的积极预测价值，(2)肋骨骨折的频率是NAT的唯一骨骼表现。方法：我们回顾了6年来所有肋骨骨折儿童的医疗记录和影像学。NAT是由儿童倡导和保护小组确定的。结果：在3岁以下儿童中，肋骨骨折作为NAT指标的阳性预测值为95%。一旦历史和临床情况排除所有其他原因导致肋骨骨折，阳性预测值增加到100%。结论：在本研究中，29%的儿童中肋骨骨折是NAT的唯一骨骼表现。
Background: Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma. The purposes of this study were to evaluate rib fractures in children to determine (1) the positive predictive value of a rib fracture in defining NAT and (2) the frequency of rib fractures as the only skeletal manifestation of NAT.Methods: We reviewed the medical records and imaging of all children with rib fractures over a 6-year period. NAT was determined by the Child Advocacy and Protection team.Results: In children younger than 3 years of age, the positive predictive value (PPV) of a rib fracture as an indicator of NAT was 95%. The positive predictive value increased to 100% once historical and clinical circumstance excluded all other causes for rib fractures.Conclusions: In this study, rib fracture(s) were the only skeletal manifestation of NAT in 29% of the children.