The Diagnostic Accuracy of Ultrasonography for the Diagnosis of Rib Fractures in Patients Presenting to Emergency Department With Blunt Chest Trauma

Çelik, Ali; Akoğlu, Haldun; Omercikoglu, Serhad; Bugdayci, Onur; Karacabey, Sinan; Kabaroglu, Kerem Ali; Onur, Özge; Denizbaşı, Arzu

doi:10.1016/j.jemermed.2020.06.063

Cited by 15 publications

(13 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the accuracy of ultrasound and CT examination was not specifically assessed in this study, CT is a more accurate diagnostic method than ultrasonography for rib fractures in humans and has been used as a criterion standard to evaluate the accuracy of ultrasound examination. 14,16 We expect the same to be true in foals, and in this study, we found disagreement between ultrasound findings and CT findings in 13/17 (76%) of the cases that underwent both procedures. Additionally, the cranial-most rib number identified as fractured was a more cranial rib in CT examinations as compared to ultrasound examinations when both procedures were performed.…”

Section: Discussionmentioning

confidence: 51%

“…The specific number and location of fractured ribs did not agree between ultrasound and CT examinations, as we had hypothesized. Although the accuracy of ultrasound and CT examination was not specifically assessed in this study, CT is a more accurate diagnostic method than ultrasonography for rib fractures in humans and has been used as a criterion standard to evaluate the accuracy of ultrasound examination 14,16 . We expect the same to be true in foals, and in this study, we found disagreement between ultrasound findings and CT findings in 13/17 (76%) of the cases that underwent both procedures.…”

Section: Discussionmentioning

confidence: 67%

“…Computed tomography (CT) is the imaging modality of choice in humans and dogs for rib fracture diagnosis following trauma. [10][11][12][13][14][15][16][17] Computed tomography allows accurate identification of fracture location and number, degree and direction of displacement, and presence of comminution. The ribs can be evaluated for abnormalities without superimposition as is present on radiographic images.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preoperative computed tomographic evaluation of neonatal foals with rib fractures

et al. 2022

View full text Add to dashboard Cite

Objective: To compare ultrasonographic and computed tomographic findings in neonatal foals prior to surgical repair of rib fractures as well as postoperative outcomes in foals with and without preoperative thoracic computed tomography (CT). Study designRetrospective cohort study. Sample population43 neonatal foals undergoing surgical treatment of rib fractures between 2013 and 2021.Methods: Medical records were reviewed for age, sex, delivery method, comorbidities, presurgical anesthetic time, surgical time, number and location of fractured ribs identified with ultrasound and CT, number and location of ribs surgically repaired, survival to discharge, and post-mortem findings. Statistical analyses were performed using chi-square, Fisher's exact, and t-tests.Results: Twenty-two foals underwent surgical repair of rib fractures after preoperative CT from 2019-2021 (median: 4/18/20) and 21 foals were anesthetized (20 underwent repair) for surgical repair of rib fractures without preoperative CT from 2013-2020 (median: 4/9/15). Ultrasound and CT findings differed in number and location of fractured ribs in 13/17 (76%) foals (p = .049). More cranially positioned ribs were identified as fractured with CT than with ultrasonography (p = .035). Survival to discharge was improved when foals underwent CT (20/22, 91%) than when they did not (12/20, 60%, p = .019). Conclusion: Ultrasound findings differed from CT findings in most foals.Foals evaluated with CT were more likely to survive to hospital discharge. Clinical significance: When available, CT is recommended prior to surgical repair of rib fractures in neonatal foals.

show abstract

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative computed tomographic evaluation of neonatal foals with rib fractures

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Trauma surgeons have incorporated ultrasound into many facets of the treatment of injured patients, including management of blunt chest trauma, where it has been shown to be sensitive and accurate in localizing rib fractures. 10,14 It is portable and radiation free and can be repeated to confirm location and extent of displacement in different patient's positions, before and after establishing a sterile operative field and immediately before surgical incision. The use of ultrasound alone in the emergency department to detect rib fractures might not be practical because of inability to reliably assess the posterior ribs or the emergent nature of patient's management.…”

Section: Discussionmentioning

confidence: 99%

“…It is a sensitive modality for detecting rib fractures and associated pathologies including pleural effusion and subperiosteal hematoma. [10][11][12][13][14] We have incorporated this modality into our operative SSRF approach to help correctly locate the fracture sites and plan our incision and approach accordingly. We aimed to evaluate whether this adjunct technique resulted in a shorter incision, a more efficient surgery, and better pain outcomes compared with traditional approach in patients undergoing SSRF.…”

mentioning

confidence: 99%

Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

Martin¹,

Cao²,

Benoît³

et al. 2021

J Trauma Acute Care Surg

View full text Add to dashboard Cite

BACKGROUND:Surgical stabilization of rib fractures (SSRF) significantly improve the outcomes of patients with rib fractures. Ultrasound is a specific modality for localizing rib fractures. We hypothesized that use of perioperative ultrasound localization of fracture sites optimizes surgical approach and clinical outcomes. METHODS:We performed a retrospective cohort study of adult patients undergoing SSRF and compared those with and without adjunctive perioperative ultrasound fracture localization. Our primary outcome was improved surgical efficiency as measured by incision length and total operative time. Secondary clinical outcomes included numeric pain score on follow-up visit and daily morphine milligram equivalent prescribed within 30 days from discharge. RESULTS:We performed 49 surgical rib fixations between 2015 and 2020; of which, 13 (26.5%) additionally underwent ultrasound localization (26.5%). There were no significant differences between groups in age, sex, number of ribs repaired, or days till surgery. More patients in the ultrasound group had nonflail chest wall injury (76.9% vs. 27.8%, p = 0.003). Use of perioperative ultrasound was associated with shorter incision length (median, 9 vs. 15.5 cm; p = 0.0001), shorter operative time (median, 120 vs. 174 minutes; p = 0.003), less daily morphine milligram equivalent (25 vs. 68 mg, p = 0.009), and reduced numeric pain score on follow up (median, 4 vs. 7, p = 0.05). CONCLUSION:Use of perioperative ultrasound localization of rib fractures to optimize surgical approach for SSRF was associated with reduced incision length, operative time, and opioid requirements on patient discharge. We recommend considering routine perioperative localization to improve surgical approach and efficiency during SSRF.

show abstract

Competency in evidence‐based medicine and associated factors among medical radiology technologists in Addis Ababa, Ethiopia

Melesse,

Amde,

Tezera

2024

J of Medical Radiation Sci

View full text Add to dashboard Cite

IntroductionEvidence‐based medicine integrates clinical expertise, patient values and best research evidence in clinical decision‐making. This study aimed to assess evidence‐based medicine knowledge, attitudes, practices and associated factors among medical radiology technologists in Addis Ababa, Ethiopia.MethodsA cross‐sectional study was conducted among 392 medical radiology technologists from May to August 2022 using a self‐administered questionnaire. Bivariate and multivariate logistic regression identified factors associated with evidence‐based medicine practice.ResultsMost medical radiology technologists (57.7%) had moderate evidence‐based medicine knowledge and 94.9% had favourable attitudes. However, 64.8% demonstrated poor evidence‐based medicine practice. Factors significantly associated with better evidence‐based medicine practice were moderate knowledge (AOR 1.949, 95% CI 1.155–3.291), good statistical understanding (AOR 1.824, 95% CI 1.135–2.930), sufficient time for evidence‐based medicine (AOR 1.892, 95% CI 1.140–3.141), institutional support (AOR 2.093, 95% CI 1.271–3.440) and evidence‐based medicine resource access (AOR 1.653, 95% CI 1.028–2.656).ConclusionDespite moderate knowledge and positive attitudes towards evidence‐based medicine, most medical radiology technologists had suboptimal utilisation. Strategies to improve knowledge, ensure dedicated time, provide institutional support and resources could enhance evidence‐based radiology practice.

show abstract

The Diagnostic Accuracy of Ultrasonography for the Diagnosis of Rib Fractures in Patients Presenting to Emergency Department With Blunt Chest Trauma

Cited by 15 publications

References 16 publications

Preoperative computed tomographic evaluation of neonatal foals with rib fractures

Preoperative computed tomographic evaluation of neonatal foals with rib fractures

Optimizing surgical stabilization of rib fractures using intraoperative ultrasound localization

Competency in evidence‐based medicine and associated factors among medical radiology technologists in Addis Ababa, Ethiopia

Contact Info

Product

Resources

About