High-yield referral criteria for posttraumatic skull roentgenography. Response of physicians and accuracy of criteria.
We evaluated a list of high-yield criteria ( HYL) as a means of reducing posttraumatic skull roentgenograms and as a diagnostic test for skull fractures. Physicians requested roentgenograms for 76.9% of head trauma patients in a four-month control period, but for only 46.1% during a four-month experimental period, a relative decrease of 40%. When the experiment ended, roentgenogram use increased to 72% of head trauma patients. The HYL accurately classified 92.5% of the patients with and 84.5% of the patients without pathological conditions. The HYL displayed substantial differences in sensitivity and specificity from HYLs used previously. Clinicians disliked the HYL, believing it was inaccurate and a monitoring device. We conclude that criteria lists can effectively decrease requests for roentogenograms and should be carefully evaluated as diagnostic tests for accuracy and adverse outcomes.[1]References
- High-yield referral criteria for posttraumatic skull roentgenography. Response of physicians and accuracy of criteria. Cummins, R.O., LoGerfo, J.P., Inui, T.S., Weiss, N.S. JAMA (1980) [Pubmed]
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