The comparison of Ottawa Ankle Rules and Shetty test performances in foot-ankle trauma patients visited to the emergency department

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dc.authorid0000-0003-3635-6722
dc.contributor.authorAk, Rohat
dc.contributor.authorKurt, Erdem
dc.contributor.authorBahadırlı, Suphi
dc.contributor.authorÇakır, Mehmet Semih
dc.contributor.authorBilgu, Ali Selman
dc.contributor.authorEke Kurt, Şebnem Zeynep
dc.date.accessioned2022-06-24T07:25:19Z
dc.date.available2022-06-24T07:25:19Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.description.abstractBackground: The Ottawa Ankle Rules (OARs) and Shetty test (ST), are assessment guidelines intended to minimize radiographs in patients with ankle trauma. The aim of this study is to determine and compare the effectiveness of OARs and ST in patients admitted to the emergency department (ED) with foot and ankle trauma. Methods: This prospective cohort study was carried out in the ED of a tertiary care teaching hospital. OARs and ST were practiced by different doctors to patients, who were admitted with foot and ankle trauma. X-ray images were analyzed by a radiologist. Accuracy measures were covered such as sensitivity, specificity, positive predictive value, negative predictive value. Results: The study was completed a total of 207 patients, after achieving the inclusion and exclusion criteria. The mean age of the patients was 33.1 +/- 16.3, and 96 (46.4%) were female. For OARs, it was determined that as sensitivity 97.22%, specificity 48.89%, positive predictive value 50.36%, negative predictive value 97.06%, positive likelihood ratio 1.9 and negative likelihood ratio 0.06. If the OARs had been used, there would have been a 32.8% reduction in the ankle X-ray system. For the ST, it was determined that as sensitivity 51.39%, specificity 85.93%, positive predictive value 66.07%, negative predictive value 76.82%, positive likelihood ratio 3.65 and negative likelihood ratio 0.57. Discussion: The OARs can be used as a screening tool, due to causing the high sensitivity in foot and ankle traumas. The ST was found to be inefficient in this study. In addition, the significant reduction in the number of X-rays with the use of OARs is another major result of the study.
dc.identifier.citationAk, R., Kurt, E., Bahadırlı, S., Çakır, M. S., Bilgu, A. S. ve Eke Kurt, Ş. Z. (2022). The comparison of Ottawa Ankle Rules and Shetty test performances in foot-ankle trauma patients visited to the emergency department. Injury, 53(6), 2287-2291. http://doi.org/10.1016/j.injury.2022.03.065
dc.identifier.doi10.1016/j.injury.2022.03.065
dc.identifier.endpage2291
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue6
dc.identifier.pmid35393096
dc.identifier.scopus2-s2.0-85127474771
dc.identifier.scopusqualityQ1
dc.identifier.startpage2287
dc.identifier.urihttp://doi.org/10.1016/j.injury.2022.03.065
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9536
dc.identifier.volume53
dc.identifier.wos000807271400036en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBahadırlı, Suphi
dc.language.isoen
dc.publisherElsevier Science Ltd
dc.relation.ispartofInjuryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAnkle
dc.subjectFoot
dc.subjectFracture
dc.subjectOttawa
dc.subjectShetty
dc.subjectTrauma
dc.titleThe comparison of Ottawa Ankle Rules and Shetty test performances in foot-ankle trauma patients visited to the emergency department
dc.typeArticle

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