The role of pain scoring in multi-detector computed tomography indications in pediatric occult fractures
| dc.contributor.author | Mutlu, Hüseyin | |
| dc.contributor.author | Çağlar, Ahmet | |
| dc.contributor.author | Sert, Ekrem Taha | |
| dc.date.accessioned | 2021-02-01T09:50:35Z | |
| dc.date.available | 2021-02-01T09:50:35Z | |
| dc.date.issued | 2020 | |
| dc.department | Tıp Fakültesi | |
| dc.description | Mutlu, Hüseyin ( Aksaray, Yazar ) | |
| dc.description.abstract | Introduction: Computed tomography (CT) is used in emergency orthopedic trauma cases with suspicion of fracture that cannot be detected on X-ray. Also pain during examination in patients with fracture is important for clinicians. We aimed to investigate whether pain severity is indicative of multi-detector CT (MDCT). Methods: A total of 175 patients included in the study. Visual analogue scale (VAS) was used to evaluate pre-examination pain in all patients. The most painful and suitable region for palpation were determined, palpated and the patients were asked to re-score their pain. In this way, the local VAS score was determined. MDCT was performed in all patients with general VAS of > 5. MDCT results were compared with the VAS scores. Results: Fracture detection in MDCT was 61.1% in patients with general VAS score of ? 5. Of the 105 patients with the local VAS score of ? 7, 90 had fractures. In these patients, the sensitivity, specificity, positive predictive value and negative predictive value of MDCT for detecting fractures were 84.1%, 77.9%, 85.7% and 75.7%, respectively. Conclusion: We believe that MDCT should be performed for suspected fracture if pain severity is high in isolated extremity trauma cases without fracture detection on X-ray. | |
| dc.identifier.doi | 10.22514/sv.2020.16.0020 | |
| dc.identifier.endpage | 158 | en_US |
| dc.identifier.issn | 1334-5605 | |
| dc.identifier.issue | 1 | en_US |
| dc.identifier.scopusquality | Q3 | |
| dc.identifier.startpage | 153 | en_US |
| dc.identifier.uri | https:/dx.doi.org/10.22514/sv.2020.16.0020 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12451/7699 | |
| dc.identifier.volume | 16 | en_US |
| dc.identifier.wos | WOS:000551519100020 | |
| dc.identifier.wosquality | Q4 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.language.iso | en | |
| dc.publisher | Pharmamed Mado Ltd | |
| dc.relation.ispartof | Signa Vitae | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | Multi-detector Computed Tomography | |
| dc.subject | Pain | |
| dc.subject | Pediatric Trauma | |
| dc.subject | Visual Analogue Scale | |
| dc.title | The role of pain scoring in multi-detector computed tomography indications in pediatric occult fractures | |
| dc.type | Article |
