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Accuracy of point-of-care ultrasound in detecting fractures in children: A validation study

Ultrasound in Medicine and Biology Oct 23, 2020

Caroselli C, Raffaldi I, Norbedo S, et al. - Researchers performed this prospective, non-randomized, convenience-sample study to compare point-of-care ultrasound (POCUS) and conventional X-rays for detecting fractures in children. This investigation was carried out in five medical centers. In total, 554 examinations were conducted with POCUS and X-ray. Swelling, localized hematoma and functional limitation were found in 66.73%, 33.78% and 53.74% of participants, respectively, on physical examination. The most-studied areas were limbs and hands/feet, while the thorax was less represented. Data reported that the sensitivity of POCUS was 91.67% for high-skill providers and 71.50 % for standard-skill providers. The authors observed good diagnostic accuracy of POCUS in assessing fracture, with excellent sensitivity, specificity, and positive and negative predictive value for high-skill providers.

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