Assessment of the Wisconsin Criteria at a Level I Trauma Center.

dc.contributor.author

Gray, Megan C

dc.contributor.author

Kollu, Tejas

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Uppal, Priya A

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Hanos, Christina

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Heiman, Adee

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Ricci, Joseph A

dc.contributor.author

Patel, Ashit

dc.date.accessioned

2023-09-01T16:13:13Z

dc.date.available

2023-09-01T16:13:13Z

dc.date.issued

2022-09

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2023-09-01T16:13:12Z

dc.description.abstract

Abstract

The Wisconsin Criteria was developed for physicians evaluating facial trauma to determine the likelihood of facial fractures. Subsequent studies have not consistently validated these criteria. This study seeks to validate the Wisconsin Criteria and determine its utility in predicting operative facial fractures.Retrospective chart review of the trauma database registry at a Level I Trauma Center was conducted from September 2011 to May 2019. Adult patients who had a complete facial examination by otolaryngology or plastic surgery as well as a head computed tomography scan completed, were included. Fisher exact test was utilized for statistical analysis ( P < 0.05) and positive predictive value, and negative predictive value (NPV) were calculated with a 95% confidence interval.After screening, 546 patients met eligibility, 448 had at least 1 finding of the Wisconsin Criteria, and 472 patients had facial fractures. The sensitivity of the Wisconsin Criteria for determining the presence of a facial fracture was 86.23%, the specificity was 44.59%, and the NPV was 33.67% ( P < .0001). Malocclusion was the criterion most specific in determining if a facial fracture was present (98.65%), and Glasgow Coma Score < 14 was the least specific (67.57%).The Wisconsin Criteria did aid in the identification of facial fractures in trauma patients with a comparable sensitivity, higher specificity, and much lower NPV than originally described. Further investigation should be done to validate the criteria in other large trauma centers.
dc.identifier

00001665-202209000-00021

dc.identifier.issn

1049-2275

dc.identifier.issn

1536-3732

dc.identifier.uri

https://hdl.handle.net/10161/28931

dc.language

eng

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Ovid Technologies (Wolters Kluwer Health)

dc.relation.ispartof

The Journal of craniofacial surgery

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10.1097/scs.0000000000008593

dc.subject

Humans

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Skull Fractures

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Facial Injuries

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Retrospective Studies

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Adult

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Trauma Centers

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Wisconsin

dc.title

Assessment of the Wisconsin Criteria at a Level I Trauma Center.

dc.type

Journal article

duke.contributor.orcid

Patel, Ashit|0000-0002-8384-190X

pubs.begin-page

1725

pubs.end-page

1729

pubs.issue

6

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

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Surgery

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Surgery, Plastic, Maxillofacial, and Oral Surgery

pubs.publication-status

Published

pubs.volume

33

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