渥太华踝关节规则在老年急诊就诊中的作用。

A. U. Seyhan, Rohat Ak, Faruk Şimşek, Senem Ayvacı, Oğuzhan Açıkgöz
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引用次数: 0

摘要

背景踝关节损伤是急诊科(ED)就诊的常见原因。有效的诊断和治疗过程对于患者的快速康复和缓解急诊室的拥挤状况至关重要。本研究旨在评估渥太华踝关节规则(OAR)在急诊科(ED)老年患者中的适用性和有效性。方法在 2022 年 2 月至 2022 年 11 月期间,研究纳入了 160 名因孤立性踝关节损伤到急诊科就诊的 65 岁及以上患者(118 名女性,42 名男性)。我们计算了 OAR 的灵敏度、特异性、阳性预测值和阴性预测值。OAR 的灵敏度为 98.33%,特异度为 86%,阴性预测值为 98.85%,阳性预测值为 80.82%。这些结果支持使用 OAR 评估老年群体踝关节损伤的有效性,但也强调了谨慎应用的必要性,因为有可能出现假阳性结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of Ottawa ankle rules in geriatric emergency department visits.
BACKGROUND Ankle injuries are a common reason for visits to the emergency department (ED). An effective diagnosis and treatment process is crucial for the swift recovery of patients and for alleviating congestion in EDs. This study aims to evaluate the adequacy and effectiveness of the Ottawa Ankle Rules (OAR) in geriatric patients presenting to the emergency department (ED). METHODS Between February 2022 and November 2022, 160 patients aged 65 and older (118 women, 42 men) who presented to the ED with isolated ankle injuries were included in the study. We calculated the sensitivity, specificity, positive predictive value, and negative predictive value of the OAR. RESULTS The study found fractures in 37.5% of patients. The sensitivity of the OAR was 98.33%, the specificity was 86%, the negative predictive value was 98.85%, and the positive predictive value was 80.82%. CONCLUSION This study demonstrates that the OAR is highly sensitive in the geriatric population but shows some limitations in terms of specificity and positive predictive value. These results support the effectiveness of using the OAR in evaluating ankle injuries in the geriatric population but also highlight the need for cautious application due to the potential for false-positive outcomes.
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