From: Prevalence of abuse among young children with femur fractures: a systematic review
Characteristics | Study | Sensitivity (95% CI) (95%CI) | Specificity (95%CI) | LR+ (95% CI) | LR- (95% CI) | P a |
---|---|---|---|---|---|---|
Age | Â | Â | Â | Â | Â | Â |
     < 12 m.o. vs. 12 m.o.-35 m.o. | Thomas, 1991 | 66.7 (35.9-97.5) | 75.0 (53.8-96.2) | 2.7 (1.0-7.0) | 0.4 (0.2-1.2) | 0.09 |
     < 12 m.o. vs. 12 m.o.-35 m.o. | Hui, 2008 | 71.4 (47.8-95.1) | 55.8 (46.6-64.9) | 1.6 (1.1-2.4) | 0.5 (0.2-1.2) | 0.09b |
     < 12 m.o. vs. 12 m.o.-35 m.o. | Leventhal, 2008 | 81.6 (78.0-85.0) | 75.4 (74.0-76.8) | 3.3 (3.1-3.6) | 0.2 (0.2-0.3) | <0.001 |
     < 12 m.o. vs. 12 m.o.-59 m.o. | Rex, 2000 | 92.9 (79.4-100.0) | 73.7 (53.9.-93.5) | 3.5 (1.6-7.6) | 0.1 (0.0-0.7) | <0.001 |
     < 12 m.o. vs. 12 m.o.-71 m.o. | Shrader, 2011 | 41.9 (27.1-56.6) | 97.9 (95.0-100.0) | 19.7 (4.8-81) | 0.6 (0.5-0.8) | <0.001 |
     < 18 m.o. vs. 18 m.o.-47 m.o. | Baldwin, 2011 | 90.0 (83.0-97.0) | 68.3 (60.6-76.1) | 2.8 (2.2-3.7) | 0.1 (0.1-0.3) | <0.001 |
Ambulatory Status | Â | Â | Â | Â | Â | Â |
     Non-ambulatory vs. ambulatory | Schwend, 2000 | 76.9 (54.0-99.8) | 88.1 (82.4-93.7) | 6.5 (3.7-11.3) | 0.3 (0.1-0.7) | <0.001 |
     Non-ambulatory vs. ambulatory | Hui, 2008 | 71.4 (47.8-95.1) | 69.0 (60.5-77.6) | 2.3 (1.5-3.5) | 0.4 (0.2-1.0) | 0.006 |
Health Insurance Status | Â | Â | Â | Â | Â | Â |
     Uninsured vs. insured | Baldwin, 2011 | 7.1 (1.2-13.2) | 90.6 (85.8-95.5) | 0.8 (0.3-2.0) | 1.0 (0.9-1.1) | 0.80 |
     Uninsured/Medicaid vs. private | Shrader, 2011 | 76.7 (64.1-89.4) | 51.1 (41.0-61.2) | 1.6 (1.2-2.0) | 0.5 (0.3-0.8) | 0.003 |
     Uninsured/Medicaid vs. private | Blakemore, 1996 | 37.5 (13.8-61.2) | 88.5 (76.2-100.0) | 3.3 (0.9-11.2) | 0.7 (0.5-1.1) | 0.06 |
Gender | Â | Â | Â | Â | Â | Â |
     Male vs. female | Schwend, 2000 | 61.5 (35.1-88.0) | 27.8 (20.0-35.6) | 0.9 (0.5-1.3) | 1.4 (0.7-2.9) | 0.52 |
     Male vs. female | Baldwin, 2011 | 51.4 (39.7-63.1) | 32.4 (24.6-40.2) | 0.8 (0.6-1.0) | 1.5 (1.1-2.1) | 0.002 |
     Male vs. female | Hui, 2008 | 50.0 (23.8-76.2) | 37.2 (28.3-46.1) | 1.2 (0.7-2.0) | 0.8 (0.5-1.4) | 0.39 |
     Male vs. female | Rewers, 2005 | 62.5 (48.4-76.2) | 31.7 (26.2-37.1) | 0.9 (0.7-1.2) | 1.2 (0.8-1.8) | 0.51 |
     Male vs. female | Arkader, 2007 | 80.0 (55.2-100) | 40.0 (9.6-70.4) | 1.3 (0.7-2.4) | 0.5 (0.1-2.1) | 0.63 |
Race | Â | Â | Â | Â | Â | Â |
     Black vs. White/other | Schwend, 2000 | 46.2 (19.1-73.3) | 77.0 (69.6-84.3) | 2.0 (1.0-3.9) | 0.7 (0.4-1.2) | 0.09 |
     Black vs. White/Hispanic/other | Rewers, 2005 | 54.2 (40.1-68.3) | 44.2 (38.4-50.1) | 1.0 (0.7-1.3) | 1.0 (0.7-1.4) | 0.88 |