Evidence map›Paper›PMID 32420396›Full record

ArticleBulletin of emergency and trauma2020

Diagnostic Accuracy of Physical Examination and History Taking in Traumatic Rib Fracture; A Single Center Experience.

Navid Kalani, Seyed Reza Habibzadeh, Roya Ghahremanizadeh, Ayoub Tavakolian, Naser Hatami, Saeed Barazandehpour, Samaneh Abiri

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Bulletin of emergency and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Navid KalaniAnesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
Seyed Reza HabibzadehDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Roya GhahremanizadehDepartment of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Ayoub TavakolianDepartment of Emergency Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Naser HatamiStudent Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
Saeed BarazandehpourDepartment of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Samaneh AbiriDepartment of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Jahrom University of Medical Sciences · IRMashhad University of Medical Sciences · IRJahrom University · IRKerman University of Medical Sciences · IRSabzevar University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the diagnostic accuracy of history taking and physical examination in the patients with traumatic rib fractures.

methodsIn a cross-sectional study, all patients with multiple traumas who referred to the emergency department were evaluated for the mechanism of injury, chief complaints, vital signs and oxygen saturation. History taking and physical examination were performed according to Barbara Bates reference. Fracture was diagnosed based on chest x-ray results and CT scan, if needed. The results were analyzed by receiver operating characteristic (ROC) curves and area under the curve (AUC) analysis.

resultsIsolated rib fractures of thoracic bones were found in 8 out of 99 subjects with mean age of 33.4±19.43 years. In the sensitivity analysis of history taking and physical exam tests, the highest sensitivity was chest tenderness and deformity with 100% sensitivity for each one and the lowest was for the dyspnea with 28.10%; however, the highest sensitivity was for dyspnea with 62.50% sensitivity; and pulmonary hearing aid and chest deformity were not specific (0%). For heart rate, AUC analysis was significant. Heart rate above 80/min was associated with 87.5% sensitivity and 62.5% specificity for rib fractures.

conclusionProper and physical examination and history taking can help to detect rib fractures with high sensitivity and specificity denoting to the importance of the issue; while, radiographic or surgical approval is required to diagnose rib fractures.

Indexed as

Physical examinationRib fractureSensitivitySpecificity

Identifiers

PMID32420396
PMCPMC7211385
OpenAlexW3016871219

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.