Publications by authors named "Gretchen Floan Sachs"
The sensitivity of limited-sequence magnetic resonance imaging in identifying pediatric cervical spine injury: A Western Pediatric Surgery Research Consortium multicenter retrospective cohort study.
Caroline Melhado Rachelle Durand Katie W Russell Natalya E Polukoff John Rampton Gretchen Floan Sachs
J Trauma Acute Care Surg
September 2024
Article Synopsis
- Clinical clearance of a child's cervical spine after trauma is difficult due to unreliable neurologic exams; LSMRI may help by providing a quicker, anesthesia-free alternative to standard MRI for detecting ligamentous injuries.
- A study conducted over five years across 10 centers evaluated 2,663 children and found that LSMRI had a sensitivity and negative predictive value of over 99% for detecting cervical spine injuries and 100% for unstable injuries.
- The findings support the use of limited-sequence MRI to effectively rule out significant injuries, suggesting that trauma centers implement LSMRI protocols to reduce the need for anesthesia and MRI times.
Background: The purpose of this study was to accurately predict pediatric choledocholithiasis with clinical data using a computational machine learning algorithm.
Methods: A multicenter retrospective cohort study was performed on children <18 years of age who underwent cholecystectomy between 2016 to 2019 at 10 pediatric institutions. Demographic data, clinical findings, laboratory, and ultrasound results were evaluated by bivariate analyses.