X-rays for Acute Knee Injuries: Pre- and Post- Pittsburgh Decision Rules Implementation. A District General Hospital Experience.
Ortop Traumatol Rehabil
; 18(5): 470-475, 2016 Oct 28.
Article
in En
| MEDLINE
| ID: mdl-28102159
ABSTRACT
BACKGROUND:
We wanted to assess the number of unnecessary radiographs done for acute knee injury patients and the accuracy of the Pittsburgh decision rules. MATERIAL ANDMETHODS:
A retrospective observational study was done to look at the acute knee injury patients presented to a district general hospital Accident and Emergency Department from August 2011 till August 2013. We assessed the following parameters sex, age, mechanism of injury, weight-bearing status and incidence of fractures in patients subjected to plain radiograph. A prospective study was then done from April 2014- August 2014 following implementation of the Pittsburgh decision rules.RESULTS:
24% of the patients had knee X-ray, compared to 72.12% in the first cycle. 36.8% had fracture, compared to 6.1% first cycle, with 66.7 % reduction in x-rays. Pittsburgh decision rules sensitivity was 100% and specificity 85.3%, positive predictive value 45.8% and accuracy 87%.CONCLUSIONS:
1. The Pittsburgh decision rules is highly sensitive, specific and accurate in determining the need of X-ray in acute knee Injuries. 2. We found that the Pittsburgh decision rules performs well in our hospital, which coincides with previously published literature.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Radiography
/
Guidelines as Topic
/
Fractures, Bone
/
Knee Injuries
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Ortop Traumatol Rehabil
Journal subject:
ORTOPEDIA
/
REABILITACAO
/
TRAUMATOLOGIA
Year:
2016
Document type:
Article
Affiliation country:
Reino Unido