ArticleJournal of clinical medicine2019
Prevalence of Fractures and Diagnostic Accuracy of Emergency X-ray in Older Adults Sustaining a Low-Energy Fall: A Retrospective Study.
Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Reporting errors in plain radiographs for lower limb trauma-a systematic review and meta-analysis.Skeletal radiology · 2022Pooled it
- Limited Predictability of Traumatic Intracranial Hemorrhage from Routine Pre-CT Clinical Variables in Older Adults with Low-Energy Falls: A Systematic Benchmarking Study in a Retrospective Bicentric Cohort.Diagnostics (Basel, Switzerland) · 2026Article
- Pain has limited predictive value for fractures following falls in older people: insight from a retrospective study.BMC emergency medicine · 2026Article
- Deep learning model for differentiating acute and chronic osteoporotic vertebral compressive fractures on multidetector CT: a retrospective study with external validation.Frontiers in medicine · 2026Article
- Ultra-Low Dose Computed Tomography Imaging in Quantifying Bone Trauma and Disorders: A Cross-Sectional Study.Iranian journal of medical sciences · 2025Article
- Low- and High-Energy Falls With Associated Traumatic Brain Injury: Epidemiology and Outcomes.Cureus · 2025Article
- Article
- Multidisciplinary and Coordinated Management of Osteoporotic Vertebral Compression Fractures: Current State of the Art.Journal of clinical medicine · 2024Review
- Diagnostic value of protein S100b as predictor of traumatic intracranial haemorrhage in elderly adults with low-energy falls: results from a retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Clinical Acuity in the Emergency Department and Injury Severity Determine Hospital Admission of Older Patients with Low Energy Falls: Outcomes from a Prospective Feasibility Study.Journal of clinical medicine · 2023Article
- Nanotechnology in the Diagnosis and Treatment of Osteomyelitis.Pharmaceutics · 2022Review
- Incidental CT Findings in the Elderly with Low-Energy Falls: Prevalence and Implications.Diagnostics (Basel, Switzerland) · 2022Article
- Practical computer vision application to detect hip fractures on pelvic X-rays: a bi-institutional study.Trauma surgery & acute care open · 2021Article
- Accuracy of plain radiography in detecting fractures in older individuals after low-energy falls: current evidence.Trauma surgery & acute care open · 2020Review
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPlain radiography (XR) series are standard of care for detection of fall-related fractures in older patients with low-energy falls (LEF) in the emergency department (ED). We have investigated the prevalence of fractures and diagnostic accuracy of XR imaging in the ED.
methods2839 patients with LEF, who were presented to two urban level I trauma centers in 2016 and received XR and computed tomography (CT), were consecutively included in this retrospective cohort study. The primary endpoint was the prevalence of fractures of the vertebral column, rib cage, pelvic ring, and proximal long bones. Secondary endpoints were diagnostic accuracy of XR for fracture detection with CT as reference standard and cumulative radiation doses applied.
resultsMedian age was 82 years (range 65-105) with 64.1% female patients. Results revealed that 585/2839 (20.6%) patients sustained fractures and 452/2839 (15.9%) patients received subsequent XR and CT examinations of single body regions. Cross-tabulation analysis revealed sensitivity of XR of 49.7%, a positive likelihood ratio of 27.6, and negative likelihood ratio of 0.5.
conclusionsXR is of moderate diagnostic accuracy for ruling-out fractures of the spine, pelvic ring, and rib cage in older patients with LEF. Prospective validations are required to investigate the overall risk-benefit of direct CT imaging strategies, considering the trade-off between diagnostic safety, health care costs, and radiation exposure.
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