Clinical Decision Rule of Paek et al for Orbital Wall Fracture in a Pediatric Patient

Description

Paek et al reported a clinical decision rule for identifying a pediatric patient who may have a fracture of the orbital wall. This can help to guide additional imaging studies. The authors are from Seoul National University, SMG-SNU Boramae Medical Center, and Kangwon National University in Seoul.

Patient selection: pediatric patient with head trauma

Parameters:

(1) orbital rim tenderness

(2) periorbital ecchymosis

(3) painful extraocular movement

(4) nausea and vomiting

Parameter	Finding	Points
orbital rim tenderness	absent	0
	present	1
periorbital ecchymosis	absent	0
	present	1
painful extraocular movement	absent	0
	present	1
nausea and vomiting	absent	0
	present	1

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 4

• A score >= 1 is associated with an increased risk for having an orbital fracture.

Performance:

• The area under the ROC curve was 0.79.

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Clinical Decision Rule of Paek et al for Orbital Wall Fracture in a Pediatric Patient

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