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FI 2016

1,042
© Thomson Reuters, Journal Citation Reports, 2016

Indexada en:

Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, Medes, Science Citation Index Expanded.

Métricas

  • Factor de Impacto: 1,042(2016)
  • 5-años Factor de Impacto: 0,989
  • SCImago Journal Rank (SJR):0,24
  • Source Normalized Impact per Paper (SNIP):0,583

© Thomson Reuters, Journal Citation Reports, 2016

Aten Primaria 2001;28:129-35 - DOI: 10.1016/S0212-6567(01)78913-5
Reglas del tobillo de Ottawa: análisis de su validez como reglas de decisión clínica en la indicación de radiografías en los traumatismos de tobillo y/o medio pie
The Ottawa ankle guidelines: analysis of their validity as clinical decision guidelines in the indications of x-rays for ankle and/or middle-foot traumas
P. Garcésa,d,, , , S. Gurucharrib,e, C. Ibiricua,e, M.E. Izuela,e, J.A. Mozoc,d, P. Builb, J. Díeza
a Centro de Salud de Tafalla (Navarra).
b Centro de Salud Azpilagaña. Pamplona.
c Centro de Salud Echavacóiz. Pamplona.
d Hospital de Navarra. Pamplona.
e Hospital Virgen del Camino. Pamplona.
Aceptado 21 marzo 2001
Resumen
Objective

To analyse the validity of the Ottawa ankle guidelines (OAG) as clinical decision guidelines in the indications of X-rays for ankle and/or middle-foot traumas in primary care.

Design

Observational, with application of the OAG and prospective measurement of the results.

Setting

Hospital casualty.

Patients

Adults who attended casualty for ankle or middle-foot traumas between 1st June 1999 and 31th March 2000. Criteria for exclusion were: under 18, pregnancy, grave sensory and/or awareness disturbances, multi-trauma or multi-contusion patients, traumas over a week old, skin lesions as side-effects of the trauma, X-ray in other department, high inflammation or oedema hindering palpation of bone protuberances.

Measurements

Application of the OAG and X-ray on all patients, regardless of the result of the OAG. Calculation of sensitivity, negative predictive value, specificity and positive predictive value.

Results

56 of a sample of 494 patients had a fracture (11.34%), 34 in the malleolus area (6.9%) and 22 in the middle-foot area (4.44%). OAG sensitivity was 96.43% (95% CI, 94.8-98). Negative predictive value was 97.22% (95.77-98.67). Specificity was 15.98% (12.75-19.21), and positive predictive value was 12.8% (9.86-15.74).

Conclusions

The OAG are valid in primary care as guidelines to decide whether to request X-rays for patients with ankle or middle-foot traumas.

Palabras clave
Reglas de Ottawa, Reglas de decisión clínica, Traumatismos de tobillo
Key words
Ottawa guidelines, Clinical decision guidelines, Ankle traumas
El Texto completo solo está disponible en PDF
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Correspondencia: Plaza Constantino Lorente, 16-2.° dcha. 44550 Alcorisa (Teruel). (P. Garcés pgarces@bifap.org)
Copyright © 2001. Elsevier España, S.L.