Plain film fracture detection rate of trauma clinicians on Lodox bodygram

Published: 17 Jul 2019 | Version 2 | DOI: 10.17632/8g4fxscxcx.2
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Description of this data

This was a retrospective review to ascertain the plain film fracture detection rate of non-radiologist trauma clinicians when interpreting Lodox bodygram images in adult trauma patients. Customised searches of the Picture Archiving and Communications Systems (PACS) of two tertiary academic hospitals in the Western Cape, South Africa, were conducted to retrieve all adult trauma patients (aged 18+ years) who had Lodox bodygram scans as part of their initial workup on presentation to either of the two Level 1 Trauma Units over two consecutive months. Information collected included age, sex, mechanism of trauma, location of all fractures or dislocations visible on the Lodox bodygram and whether the patient was intubated or not.

The bodygram images (which are not routinely reported by radiologists) were retrospectively reviewed by two radiologists, who noted the locations of all fractures visible on Lodox (gold standard). The follow-up imaging sequence on the PACS system was then analysed to see which of the fractures visible on Lodox received dedicated follow-up imaging (radiographs/CT/MR) since the single projection Lodox bodygram is insufficient for full characterization of the injury.

Fractures seen on Lodox but without additional dedicated imaging were deemed as missed. Cases which were unclear or where follow-up imaging was delayed were clarified by review of the clinical notes.

Generalised Fischer Exact Test assessed any association between the fracture site and failure of detection.

An orthopaedic surgeon was consulted to ascertain which of the missed fractures needed surgical treatment.

Data included are:
Excel Spreadsheet: Complete Dataset
Complete dataset for our study in table form. Columns are self-explanatory with totals tallied below.
Excel Spreadsheet: Statistical results
The results of the Generalised Fischer Exact Test used to assess any association between the fracture site and failure of detection
Figure 2:
Selected examples of subtle missed fractures, description included in accompanying Word document of the same name.

Experiment data files

Latest version

  • Version 2

    2019-07-17

    Published: 2019-07-17

    DOI: 10.17632/8g4fxscxcx.2

    Cite this dataset

    Holdt, Frederik; Pitcher, Richard (2019), “Plain film fracture detection rate of trauma clinicians on Lodox bodygram”, Mendeley Data, v2 http://dx.doi.org/10.17632/8g4fxscxcx.2

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Institutions

Stellenbosch University

Categories

Radiology, Orthopedics, Traumatic Injury, Biomedical Imaging, Fracture, Trauma, Clinical Radiology, Conventional Radiology, Bone Fracture, Traumatology

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The files associated with this dataset are licensed under a Creative Commons Attribution 4.0 International licence.

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