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      Comparison of Clinician Suspicion Versus a Clinical Prediction Rule in Identifying Children at Risk for Intra-abdominal Injuries After Blunt Torso Trauma.

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          Abstract

          Emergency department (ED) identification and radiographic evaluation of children with intra-abdominal injuries who need acute intervention can be challenging. To date, it is unclear if a clinical prediction rule is superior to unstructured clinician judgment in identifying these children. The objective of this study was to compare the test characteristics of clinician suspicion with a derived clinical prediction rule to identify children at risk of intra-abdominal injuries undergoing acute intervention following blunt torso trauma.

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          Author and article information

          Journal
          Acad Emerg Med
          Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
          Wiley-Blackwell
          1553-2712
          1069-6563
          Sep 2015
          : 22
          : 9
          Affiliations
          [1 ] Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI.
          [2 ] Department of Emergency Medicine, University of California, Davis, Sacramento, CA.
          [3 ] Department of Pediatrics, University of California, Davis, Sacramento, CA.
          [4 ] Departments of Emergency Medicine and Pediatrics, New York University School of Medicine, Bellevue Hospital Center, New York, NY.
          [5 ] Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI.
          [6 ] Division of Pediatric Emergency Medicine, Children's National Medical Center, Washington, DC.
          [7 ] Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA.
          [8 ] Department of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
          [9 ] Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH.
          [10 ] Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.
          [11 ] Department of Pediatrics, New York Presbyterian-Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, NY.
          [12 ] Pediatric Emergency Medicine, Women and Children's Hospital of Buffalo, Buffalo, NY.
          Article
          10.1111/acem.12739
          26302354
          cc1224c1-b7ff-47d4-b024-ed0055c0ab7e
          History

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