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Shetty test in ankle and foot trauma: An emergency department pilot study assessing specificity and sensitivity
Author(s) -
Jovic David,
Johnson David,
Tolmie Louise,
Stanier Paul,
Hutchins Rene
Publication year - 2020
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13541
Subject(s) - medicine , mcnemar's test , triage , foot (prosody) , emergency department , ankle , test (biology) , physical therapy , emergency medicine , surgery , psychiatry , paleontology , statistics , mathematics , linguistics , philosophy , biology
Objective To assess the potential impact of the Shetty test over Ottawa ankle foot rules (OAFR) on plain imaging utilisation in the ED. Methods Nursing and medical staff assessed both Shetty test and OAFR in ED. All patients received ankle and foot radiographs. Results Fifty‐four participants were assessed. Shetty test specificity at triage was 0.40 (95% CI 0.25–0.57), compared to OAFR 0.10 (95% CI 0.03–0.24), McNemar's P < 0.01. Shetty test and OAFR sensitivity at triage was 0.92 (95% CI 0.64–0.99), McNemar's P = 1.00. Conclusion Shetty test may safely reduce unneeded radiographs in ED. Further research is warranted.