Unique ID issued by UMIN | UMIN000011928 |
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Receipt number | R000007385 |
Scientific Title | Soft-tissue lateral neck radiographs to rule out acute epiglottitis: singlecentre, prospective patient collected observation study of diagnostic accuracy in adults |
Date of disclosure of the study information | 2013/10/01 |
Last modified on | 2014/09/09 21:22:41 |
Soft-tissue lateral neck radiographs to rule out acute epiglottitis:
singlecentre, prospective patient collected observation study of diagnostic accuracy in adults
Soft-tissue lateral neck radiographs to rule out acute epiglottitis
Soft-tissue lateral neck radiographs to rule out acute epiglottitis:
singlecentre, prospective patient collected observation study of diagnostic accuracy in adults
Soft-tissue lateral neck radiographs to rule out acute epiglottitis
Japan |
acute epiglottitis
Infectious disease | Oto-rhino-laryngology | Emergency medicine |
Others
NO
To evaluate the usefullness of soft-tissue lateral neck radiographs to rule out acute epiglottitis:
Efficacy
Confirmatory
Pragmatic
Not applicable
Presence of acute epiglottitis on radiograph.
Observational
15 | years-old | <= |
Not applicable |
Male and Female
patients who undergo lateral neck radiographs to detect supraglottitis
no consent, lost of follow
63
1st name | |
Middle name | |
Last name | Takashi Fujiwarabi |
Kurashiki central hospital
Dept. Otorhinolaryngology/Head and Neck surgery
1-1-1 miwa, Kurashiki, Okayama, Japan
0864220210
t.fujiwarabi@gmail.com
1st name | |
Middle name | |
Last name | Takashi Fujiwara |
Kurashiki central hospital
Dept. Otorhinolaryngology/Head and Neck surgery
1-1-1 miwa, Kurashiki, Okayama, Japan
0864220210
t.fujiwarabi@gmail.com
Kurashiki central hospital
None
Self funding
none
NO
倉敷中央病院(岡山県)
2013 | Year | 10 | Month | 01 | Day |
Published
http://emj.bmj.com/content/early/2014/08/20/emermed-2013-203340.abstract
Results 140 patients had LNR during the study period. 35 patients were excluded from further analysis because of lack of consent. Of the 105 eligible patients, 21 patients (20%) were given the diagnosis of supraglottitis: 17 of 29 with a radiographic abnormality, and 4 of 76 patients without a radiographic abnormality. Three of the four cases where LNR was negative was grade 1, and all cases of grade 3 or higher had abnormal LNR. Sensitivity and specificity (95% CI) of LNR for supraglottitis were 81.0% (64.2 to 97.7) and 85.7% (78.2 to 93.2), respectively. The positive predictive value of LNR was 58.6% (40.7 to 76.5) and the negative predictive value was 94.7% (89.7 to 99.8). The positive likelihood ratio of LNR was 5.67 (3.27 to 9.82) and the negative likelihood ratio was 0.22 (0.10 to 0.51).
Completed
2011 | Year | 04 | Month | 15 | Day |
2011 | Year | 04 | Month | 15 | Day |
2013 | Year | 03 | Month | 31 | Day |
2013 | Year | 08 | Month | 31 | Day |
2013 | Year | 08 | Month | 31 | Day |
2013 | Year | 09 | Month | 15 | Day |
Design: A signle-centre prospective observational study in emergency department.
Setteing: Emergency department in Kurashiki central hospital, Japan
Participants: We prospectively evaluated adult patients who had taken LNR to detect supraglottitis.
Intervention: LNR to detect supraglottitis
Main outcome measures: Presence of supraglottitis using nasopharyngeal laryngoscopy or telephone call 7-30 day after the visit.
2013 | Year | 10 | Month | 01 | Day |
2014 | Year | 09 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007385
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