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

Rainer, Timothy ORCID: https://orcid.org/0000-0003-3355-3237, Griffith, James F., Lam, Eric, Lam, Peggo K. W. and Metreweli, Constantine 2004. Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury. Journal of Trauma: Injury, Infection, and Critical Care 56 (6) , pp. 1211-1213. 10.1097/01.TA.0000075800.65485.48

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Abstract

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	Chest injury, Diagnostic imaging, Pain, Trauma, Ultrasonography, Ultrasound, Wounds, Injuries
Publisher:	Lippincott, Williams & Wilkins
ISSN:	0022-5282
Date of Acceptance:	21 April 2003
Last Modified:	01 Nov 2022 10:47
URI:	https://orca.cardiff.ac.uk/id/eprint/92882

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