----- Original Message -----
Sent: 26 novembre, 2001 05:36
Subject: URG-L: Pittsburgh Lions vs
Ottawa Bears
Oui en comparaison pittsburgh est plus sensible, mais la
question c'est "est-ce que vous urtilisez l'une ou l'autre oou le resultat le
plus prudent de l'une et l'autre successivement ?
(9. Seaberg DC, Yealy DM, Lukens T, et al: Multicenter comparison of two
clinical decision rules for the use of radiography in acute, high-risk knee
injuries. Ann Emerg Med 32:8-13, 1998 Full Text )
Annals of Emergency Medicine
Volume 32 • Number 1 • July 1998
Copyright � 1998 American College of Emergency Physicians
CLINICAL
INVESTIGATION
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Multicenter Comparison of Two Clinical Decision Rules for the Use of
Radiography in Acute, High-Risk Knee Injuries
David C Seaberg MD*
Donald M Yealy MD
Thomas Lukens MD, PhDII
Thomas Auble PhD
Susan Mathias RN�
From the University of Florida Health Science Center, Jacksonville, FL* ;
the University of Pittsburgh Medical Center and Mercy Hospital,� Pittsburgh,
PA; and MetroHealth Medical Center, Cleveland, OH.II
Received for publication September 7, 1996.
Revisions received May 19,
September 4, and December 29, 1997.
Accepted for publication January 23,
1998.
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Presented at the Society for Academic Emergency Medicine Annual Meeting,
Denver, CO, May 1996.
Copyright � 1998 American College of Emergency
Physicians.
Reprint no. 47/1/90757
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Address for reprints: David C Seaberg, MD, Division of Emergency Medicine,
University of Florida Health Science Center, 655 West Eighth Street,
Jacksonville, FL 32209
Study objective: Two separate clinical decision rules, one developed in
Ottawa and the other in Pittsburgh, for the use of radiography in acute knee
injuries have been previously validated and published. In this study, the
rules were prospectively validated and compared in a new set of patients.
Methods: A prospective, blinded, multicenter trial was conducted in the
emergency departments of three urban teaching hospitals. A convenience sample
of 934 patients with knee pain requiring radiographs was enrolled. A
standardized data form was completed for each patient, comprising the 10
clinical variables included in the two rules. Standard knee radiographs were
then taken in each patient. The rules were interpreted by the primary
investigator on the basis of the data sheet and the final radiologist
radiograph rea
