The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children

Katherine A. Barsness; Eun Suk Cha; Denis D. Bensard; Casey M. Calkins; David A. Partrick; Frederick M. Karrer; John D. Strain

doi:10.1097/01.TA.0000068992.01030.A8

The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children

Katherine A. Barsness
, Eun Suk Cha
, Denis D. Bensard
, Casey M. Calkins
, David A. Partrick
, Frederick M. Karrer
, John D. Strain

Department of Radiology

Research output: Contribution to journal › Article › peer-review

213 Scopus citations

Abstract

Background:Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma. The purposes of this study were to evaluate rib fractures in children to determine (1) the positive predictive value of a rib fracture in defining NAT and (2) the frequency of rib fractures as the only skeletal manifestation of NAT.Methods:We reviewed the medical records and imaging of all children with rib fractures over a 6-year period. NAT was determined by the Child Advocacy and Protection team.Results:In children younger than 3 years of age, the positive predictive value (PPV) of a rib fracture as an indicator of NAT was 95%. The positive predictive value increased to 100% once historical and clinical circumstance excluded all other causes for rib fractures.Conclusion:In this study, rib fracture(s) were the only skeletal manifestation of NAT in 29% of the children.

Original language	English
Pages (from-to)	1107-1110
Number of pages	4
Journal	Journal of Trauma - Injury, Infection and Critical Care
Volume	54
Issue number	6
DOIs	https://doi.org/10.1097/01.TA.0000068992.01030.A8
State	Published - Jun 2003

Keywords

Children
Nonaccidental trauma
Rib fractures

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10.1097/01.TA.0000068992.01030.A8

Cite this

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title = "The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children",

abstract = "Background:Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma. The purposes of this study were to evaluate rib fractures in children to determine (1) the positive predictive value of a rib fracture in defining NAT and (2) the frequency of rib fractures as the only skeletal manifestation of NAT.Methods:We reviewed the medical records and imaging of all children with rib fractures over a 6-year period. NAT was determined by the Child Advocacy and Protection team.Results:In children younger than 3 years of age, the positive predictive value (PPV) of a rib fracture as an indicator of NAT was 95\%. The positive predictive value increased to 100\% once historical and clinical circumstance excluded all other causes for rib fractures.Conclusion:In this study, rib fracture(s) were the only skeletal manifestation of NAT in 29\% of the children.",

keywords = "Children, Nonaccidental trauma, Rib fractures",

author = "Barsness, \{Katherine A.\} and Cha, \{Eun Suk\} and Bensard, \{Denis D.\} and Calkins, \{Casey M.\} and Partrick, \{David A.\} and Karrer, \{Frederick M.\} and Strain, \{John D.\}",

year = "2003",

month = jun,

doi = "10.1097/01.TA.0000068992.01030.A8",

language = "English",

volume = "54",

pages = "1107--1110",

journal = "Journal of Trauma - Injury, Infection and Critical Care",

issn = "0022-5282",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "6",

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TY - JOUR

T1 - The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children

AU - Barsness, Katherine A.

AU - Cha, Eun Suk

AU - Bensard, Denis D.

AU - Calkins, Casey M.

AU - Partrick, David A.

AU - Karrer, Frederick M.

AU - Strain, John D.

PY - 2003/6

Y1 - 2003/6

N2 - Background:Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma. The purposes of this study were to evaluate rib fractures in children to determine (1) the positive predictive value of a rib fracture in defining NAT and (2) the frequency of rib fractures as the only skeletal manifestation of NAT.Methods:We reviewed the medical records and imaging of all children with rib fractures over a 6-year period. NAT was determined by the Child Advocacy and Protection team.Results:In children younger than 3 years of age, the positive predictive value (PPV) of a rib fracture as an indicator of NAT was 95%. The positive predictive value increased to 100% once historical and clinical circumstance excluded all other causes for rib fractures.Conclusion:In this study, rib fracture(s) were the only skeletal manifestation of NAT in 29% of the children.

AB - Background:Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma. The purposes of this study were to evaluate rib fractures in children to determine (1) the positive predictive value of a rib fracture in defining NAT and (2) the frequency of rib fractures as the only skeletal manifestation of NAT.Methods:We reviewed the medical records and imaging of all children with rib fractures over a 6-year period. NAT was determined by the Child Advocacy and Protection team.Results:In children younger than 3 years of age, the positive predictive value (PPV) of a rib fracture as an indicator of NAT was 95%. The positive predictive value increased to 100% once historical and clinical circumstance excluded all other causes for rib fractures.Conclusion:In this study, rib fracture(s) were the only skeletal manifestation of NAT in 29% of the children.

KW - Children

KW - Nonaccidental trauma

KW - Rib fractures

UR - https://www.scopus.com/pages/publications/0038801370

U2 - 10.1097/01.TA.0000068992.01030.A8

DO - 10.1097/01.TA.0000068992.01030.A8

M3 - Article

C2 - 12813330

AN - SCOPUS:0038801370

SN - 0022-5282

VL - 54

SP - 1107

EP - 1110

JO - Journal of Trauma - Injury, Infection and Critical Care

JF - Journal of Trauma - Injury, Infection and Critical Care

IS - 6

ER -

The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children

Abstract

Keywords

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