Validation of the Ottawa rules for the Portuguese population: a prospective study.
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516 |
Resumo: | Acute ankle injury is one of the main reasons for observation of patients in the emergency department. Only 15% present with clinically significant fractures, but they are almost always referred for radiography. The Ottawa ankle rules have provided specific directions for carrying out radiography in these situations, allowing a reduction in hospital costs and reducing exposure to ionizing radiation. The aim of the study is to verify that the protocol of the Ottawa rules for evaluating ankle trauma can adapt to a sample of the Portuguese population.This prospective study was done in the Emergency Department of Orthopedics, for a period of 9 months, integrating all patients who presented with complaints in the ankle with less than 48 hours development. All patients underwent radiography of the injured area. Radiographic images were evaluated by the orthopaedic doctor in the emergency department. Patients were reassessed in about 10-15 days after injury by the same observer.We evaluated 123 patients. The average age was 35.2 (range, 7 to 88) years. Sixty had positive criteria for radiological assessment, of which 43 had fracture; none of the patients with negative criteria had fratures. Sensitivity of Ottawa ankle rules for detecting fractures was 100%.The implementation of the Ottawa ankle rules appears to have potential to reduce the number of radiographs for the assessment of these patients by about 51%. The results of this study demonstrate no false negatives and are consistent with the results of other similar studies which sensitizes us to implement these criteria in our emergency services. |
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Validation of the Ottawa rules for the Portuguese population: a prospective study.Validação das regras de Ottawa para a população Portuguesa: estudo prospectivo.Acute ankle injury is one of the main reasons for observation of patients in the emergency department. Only 15% present with clinically significant fractures, but they are almost always referred for radiography. The Ottawa ankle rules have provided specific directions for carrying out radiography in these situations, allowing a reduction in hospital costs and reducing exposure to ionizing radiation. The aim of the study is to verify that the protocol of the Ottawa rules for evaluating ankle trauma can adapt to a sample of the Portuguese population.This prospective study was done in the Emergency Department of Orthopedics, for a period of 9 months, integrating all patients who presented with complaints in the ankle with less than 48 hours development. All patients underwent radiography of the injured area. Radiographic images were evaluated by the orthopaedic doctor in the emergency department. Patients were reassessed in about 10-15 days after injury by the same observer.We evaluated 123 patients. The average age was 35.2 (range, 7 to 88) years. Sixty had positive criteria for radiological assessment, of which 43 had fracture; none of the patients with negative criteria had fratures. Sensitivity of Ottawa ankle rules for detecting fractures was 100%.The implementation of the Ottawa ankle rules appears to have potential to reduce the number of radiographs for the assessment of these patients by about 51%. The results of this study demonstrate no false negatives and are consistent with the results of other similar studies which sensitizes us to implement these criteria in our emergency services.Acute ankle injury is one of the main reasons for observation of patients in the emergency department. Only 15% present with clinically significant fractures, but they are almost always referred for radiography. The Ottawa ankle rules have provided specific directions for carrying out radiography in these situations, allowing a reduction in hospital costs and reducing exposure to ionizing radiation. The aim of the study is to verify that the protocol of the Ottawa rules for evaluating ankle trauma can adapt to a sample of the Portuguese population.This prospective study was done in the Emergency Department of Orthopedics, for a period of 9 months, integrating all patients who presented with complaints in the ankle with less than 48 hours development. All patients underwent radiography of the injured area. Radiographic images were evaluated by the orthopaedic doctor in the emergency department. Patients were reassessed in about 10-15 days after injury by the same observer.We evaluated 123 patients. The average age was 35.2 (range, 7 to 88) years. Sixty had positive criteria for radiological assessment, of which 43 had fracture; none of the patients with negative criteria had fratures. Sensitivity of Ottawa ankle rules for detecting fractures was 100%.The implementation of the Ottawa ankle rules appears to have potential to reduce the number of radiographs for the assessment of these patients by about 51%. The results of this study demonstrate no false negatives and are consistent with the results of other similar studies which sensitizes us to implement these criteria in our emergency services.Ordem dos Médicos2011-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516oai:ojs.www.actamedicaportuguesa.com:article/516Acta Médica Portuguesa; Vol. 24 No. 5 (2011): Setembro-Outubro; 713-8Acta Médica Portuguesa; Vol. 24 N.º 5 (2011): Setembro-Outubro; 713-81646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516/224Rodrigues, PatriciaRosa, IsabelCampagnolo, João Lameirasinfo:eu-repo/semantics/openAccess2022-12-20T10:56:27Zoai:ojs.www.actamedicaportuguesa.com:article/516Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:34.478328Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Validation of the Ottawa rules for the Portuguese population: a prospective study. Validação das regras de Ottawa para a população Portuguesa: estudo prospectivo. |
title |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
spellingShingle |
Validation of the Ottawa rules for the Portuguese population: a prospective study. Rodrigues, Patricia |
title_short |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
title_full |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
title_fullStr |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
title_full_unstemmed |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
title_sort |
Validation of the Ottawa rules for the Portuguese population: a prospective study. |
author |
Rodrigues, Patricia |
author_facet |
Rodrigues, Patricia Rosa, Isabel Campagnolo, João Lameiras |
author_role |
author |
author2 |
Rosa, Isabel Campagnolo, João Lameiras |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rodrigues, Patricia Rosa, Isabel Campagnolo, João Lameiras |
description |
Acute ankle injury is one of the main reasons for observation of patients in the emergency department. Only 15% present with clinically significant fractures, but they are almost always referred for radiography. The Ottawa ankle rules have provided specific directions for carrying out radiography in these situations, allowing a reduction in hospital costs and reducing exposure to ionizing radiation. The aim of the study is to verify that the protocol of the Ottawa rules for evaluating ankle trauma can adapt to a sample of the Portuguese population.This prospective study was done in the Emergency Department of Orthopedics, for a period of 9 months, integrating all patients who presented with complaints in the ankle with less than 48 hours development. All patients underwent radiography of the injured area. Radiographic images were evaluated by the orthopaedic doctor in the emergency department. Patients were reassessed in about 10-15 days after injury by the same observer.We evaluated 123 patients. The average age was 35.2 (range, 7 to 88) years. Sixty had positive criteria for radiological assessment, of which 43 had fracture; none of the patients with negative criteria had fratures. Sensitivity of Ottawa ankle rules for detecting fractures was 100%.The implementation of the Ottawa ankle rules appears to have potential to reduce the number of radiographs for the assessment of these patients by about 51%. The results of this study demonstrate no false negatives and are consistent with the results of other similar studies which sensitizes us to implement these criteria in our emergency services. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516 oai:ojs.www.actamedicaportuguesa.com:article/516 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/516 |
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por |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/516/224 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 24 No. 5 (2011): Setembro-Outubro; 713-8 Acta Médica Portuguesa; Vol. 24 N.º 5 (2011): Setembro-Outubro; 713-8 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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