A pilot prospective study to validate point-of-care ultrasound in comparison to X-ray examination in detecting fractures
Ultrasound in Medicine and Biology Oct 11, 2019
Caroselli C, et al. - Researchers performed this prospective analysis with a non-randomly allocated convenience sample, to compare point-of-care ultrasound (POCUS) with conventional radiography in terms of accuracy for the diagnosis of bone fractures. Consecutive patients with a suspected orthopedic injury were assessed. They found the ultrasound examination yielded a sensitivity of 93.89%, 94.30%, and 91.67%, for all patients, adult, and pediatric groups, respectively. For these groups, it yielded a specificity of 94.13%, 94.56%, and 88.89%, respectively. For the whole group, adults and children, the respective positive predictive value was 88.48%, 88.35% and 89.19%, and the respective negative predictive value was 96.98%, 97.43% and 91.43%. Compared with plain radiography, a significant diagnostic accuracy of POCUS was evident, along with excellent sensitivity, specificity and positive and negative predictive values offered by it for the assessment of fracture.
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