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

^*Corresponding author for this work

Surgery

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

199 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 (US)
Pages (from-to)	1107-1110
Number of pages	4
Journal	Journal of Trauma
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

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

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10.1097/01.TA.0000068992.01030.A8

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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",

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

language = "English (US)",

volume = "54",

pages = "1107--1110",

journal = "Journal of Trauma",

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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

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

Abstract

Keywords

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