{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:25:17Z","timestamp":1771327517953,"version":"3.50.1"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n            <jats:title>Background and objectives<\/jats:title>\n            <jats:p>Abdominal radiographs (ARs) are commonly used in the pediatric emergency department (PED). Their low diagnostic accuracy leads to overuse, excess radiation exposure, and increased resource usage. This study aims to assess the diagnostic yield of ARs in the evaluation of intraabdominal pathology in the PED.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Retrospective, cross-sectional study of patients aged 0 to 18 years with an AR who visited the PED between 2017 and 2019. Diagnostic yield was analyzed with sensitivity, specificity, positive predictive value, negative predictive value (NPV), and likelihood ratio.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 4288 ARs were identified, with a rate of 6%. The overall abnormal AR rate was 31%. The incidences of an abnormal AR in abdominal pain, vomiting, and constipation were 26%, 37%, and 50%, respectively. There was a 13% rate of clinically significant diagnoses. The AR diagnostic yield showed 44% sensitivity, 70% specificity, 17% positive predictive value, and 90% NPV (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05). Unadjusted odds ratio analysis of positive AR and abdominal pain, vomiting, and constipation revealed an odds ratio of 0.68 (95% confidence interval [CI], 0.63\u20130.75), 1.22 (95% CI, 1.06\u20131.39), and 1.72 (95% CI, 1.54\u20131.91), respectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>There is a low rate of intraabdominal pathologic processes that an AR can identify. A normal AR does not change patient management, nor does it reduce the need for further radiologic imaging. Despite a good NPV, the AR is not a useful diagnostic tool in the PED because of its limited ability to rule in or rule out clinically significant diagnoses.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002942","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T22:34:38Z","timestamp":1682030078000},"page":"45-50","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic Yield of Abdominal Radiographs in the Pediatric Emergency Department"],"prefix":"10.1097","volume":"40","author":[{"given":"Kacper","family":"Kubiszewski","sequence":"first","affiliation":[{"name":"University of Central Florida, College of Medicine, Orlando, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzannah","family":"Patterson","sequence":"additional","affiliation":[{"name":"University of Central Florida, College of Medicine, Orlando, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sweta","family":"Chalise","sequence":"additional","affiliation":[{"name":"University of Central Florida, College of Medicine, Orlando, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Rivera-Sepulveda","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine and Urgent Care, Nemours Children's Health, Orlando, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1542\/peds.2012-3672","article-title":"Race and acute abdominal pain in a pediatric emergency department","volume":"131","year":"2013","journal-title":"Pediatrics"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"448","DOI":"10.3928\/0090-4481-19960801-08","article-title":"Pediatric abdominal surgical 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