Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients.

ABSTRACT:

Background

Timely and accurate identification of life- and limb-threatening injuries (LLTIs) is a fundamental objective of trauma care that directly informs triage and treatment decisions. However, the diagnostic accuracy of clinical examination to detect LLTIs is largely unknown, due to the risk of contamination from in-hospital diagnostics in existing studies. Our aim was to assess the diagnostic accuracy of initial clinical examination for detecting life- and limb-threatening injuries (LLTIs). Secondary aims were to identify factors associated with missed injury and overdiagnosis, and determine the impact of clinician uncertainty on diagnostic accuracy.

Methods

Retrospective diagnostic accuracy study of consecutive adult (≥ 16 years) patients examined at the scene of inju

SUBMITTER: Wohlgemut JM 

PROVIDER: S-EPMC10082501 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature