Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients

The popularity of ultrasound for acute diagnosis of fractures in the Emergency Department (ED) has increased over the recent years. This present study aimed to determine the sensitivity and specificity of ultrasound use for detection of fractures in a different environment, which is at the triage ar...

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Main Authors:	Nik Muhamad NA, Ganesan Murthi J, Nik Ismail NA
Format:	Article
Language:	English
Published:	Penerbit UKM 2015
Online Access:	http://journalarticle.ukm.my/9277/ http://journalarticle.ukm.my/9277/ http://journalarticle.ukm.my/9277/1/4.pdf

id	ukm-9277
recordtype	eprints
spelling	ukm-92772016-12-14T06:49:26Z http://journalarticle.ukm.my/9277/ Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients Nik Muhamad NA, Ganesan Murthi J, Nik Ismail NA, The popularity of ultrasound for acute diagnosis of fractures in the Emergency Department (ED) has increased over the recent years. This present study aimed to determine the sensitivity and specificity of ultrasound use for detection of fractures in a different environment, which is at the triage area of the ED. We compared the results of bedside ultrasound in detecting non-critical fractures to the current gold standard of X-rays in the triage area. The design was a single centered cross-sectional study. From August 2014 till November 2014, a total of 46 patients were recruited, creating 75 image pairs. Following consent, a bedside ultrasound was performed and subsequently compared with X-ray reporting regarding the presence or absence of fractures. SPSS analysis was used to determine the sensitivity and specificity of ultrasound in diagnosing fracture as compared to X-rays. Ultrasound had a sensitivity of 72% (95% CI, 50.6% - 87.9%) and a specificity of 80% (95%CI: 66.3 – 90%) when compared to X-rays in fracture diagnosis. The kappa analyses showed moderate inter observer agreement (0.5) between ultrasound and X-rays in diagnosing fractures. This study suggests that the use of ultrasound as a triage tool yet has unacceptable sensitivity and needs further evaluation and consideration. Penerbit UKM 2015-12-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9277/1/4.pdf Nik Muhamad NA, and Ganesan Murthi J, and Nik Ismail NA, (2015) Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients. Medicine & Health, 10 (2). pp. 103-111. ISSN 1823-2140 http://www.medicineandhealthukm.com
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	The popularity of ultrasound for acute diagnosis of fractures in the Emergency Department (ED) has increased over the recent years. This present study aimed to determine the sensitivity and specificity of ultrasound use for detection of fractures in a different environment, which is at the triage area of the ED. We compared the results of bedside ultrasound in detecting non-critical fractures to the current gold standard of X-rays in the triage area. The design was a single centered cross-sectional study. From August 2014 till November 2014, a total of 46 patients were recruited, creating 75 image pairs. Following consent, a bedside ultrasound was performed and subsequently compared with X-ray reporting regarding the presence or absence of fractures. SPSS analysis was used to determine the sensitivity and specificity of ultrasound in diagnosing fracture as compared to X-rays. Ultrasound had a sensitivity of 72% (95% CI, 50.6% - 87.9%) and a specificity of 80% (95%CI: 66.3 – 90%) when compared to X-rays in fracture diagnosis. The kappa analyses showed moderate inter observer agreement (0.5) between ultrasound and X-rays in diagnosing fractures. This study suggests that the use of ultrasound as a triage tool yet has unacceptable sensitivity and needs further evaluation and consideration.
format	Article
author	Nik Muhamad NA, Ganesan Murthi J, Nik Ismail NA,
spellingShingle	Nik Muhamad NA, Ganesan Murthi J, Nik Ismail NA, Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
author_facet	Nik Muhamad NA, Ganesan Murthi J, Nik Ismail NA,
author_sort	Nik Muhamad NA,
title	Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
title_short	Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
title_full	Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
title_fullStr	Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
title_full_unstemmed	Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients
title_sort	effectiveness of ultrasound as a triage tool in ruling out fractures among non-critical emergency department patients
publisher	Penerbit UKM
publishDate	2015
url	http://journalarticle.ukm.my/9277/ http://journalarticle.ukm.my/9277/ http://journalarticle.ukm.my/9277/1/4.pdf
first_indexed	2023-09-18T19:54:25Z
last_indexed	2023-09-18T19:54:25Z
_version_	1777406434061844480

Effectiveness of Ultrasound as a Triage Tool in Ruling out Fractures among Non-Critical Emergency Department Patients

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