Annals of Emergency Medicine
Volume 34, Issue 5 , Pages 664-667 , November 1999

Application of Likelihood Ratios to Clinical Decision Rules: Defining the Limits of Clinical Expertise

References 

  1. Buckley RG, King KJ, Disney JD, et al.  History and physical examination to estimate the risk of ectopic pregnancy: Validation of a clinical prediction model. Ann Emerg Med. 1999;34:589–594
  2. Buckley RG, King KJ, Disney JD, et al.  Derivation of a clinical prediction model for the emergency department diagnosis of ectopic pregnancy. Acad Emerg Med. 1998;5:951–960
  3. Feinstein AR. Multivariable Analysis: An Introduction. In: New Haven, CT: Yale University Press; 1996;p. 529–558
  4. SAS Institute Inc . In: ed 4. SAS/STAT User’s Guide , version 6. vol 2:Cary, NC: SAS Institute Inc; 1989;p. 1071–1126
  5. SAS Institute Inc . In: ed. SAS/STAT User’s Guide, version 6. vol 1:Cary, NC: SAS Institute Inc; 1989;p. 677–771
  6. Laupacis A, Sekar N, Stiell IG. Clinical prediction rules. A review and suggested modifications of methodologic standards. JAMA. 1997;277:488–494
  7. Feinstein AR. Clinical Epidemiology. In: The Architecture of Clinical Research. Philadelphia: WB Saunders; 1985;p. 419
  8. Stiell IG, Greenberg GH, McKnight RD, et al.  Decision rules for the use of radiography in acute ankle injuries: Refinement and prospective validation. JAMA. 1993;269:1127–1132
  9. Pauker SG, Kassirer JP. The threshold approach to clinical decision-making. N Engl J Med. 1980;302:1109–1117
  10. Gallagher EJ. Clinical utility of likelihood ratios. Ann Emerg Med. 1998;31:391–397
  11. The PIOPED Investigators: Value of the ventilation/perfusion scan in acute pulmonary embolism . Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA. 1990;263:2753–2759
  12. Jaeschke R, Guyatt GH, Sackett DL, et al.  Users’ guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients?. JAMA. 1994;271:703–707
  13. Kaplan BC, Dart RG, Moskos M, et al.  Ectopic pregnancy: Prospective study with improved diagnostic accuracy. Ann Emerg Med. 1996;28:10–17
  14. Lindblom B, Hahlin M, Sjoblom P. Serial human chorionic gonadotropin determinations fluoroimmunoassay for differentiation between intrauterine and ectopic gestation. Am J Obstet Gynecol. 1989;161:397–400
  15. Heijboer H, Buller HR, Lensing AW. A comparison of realtime compression ultrasonography with impedance plethysmography for the diagnosis of deep vein thrombosis in symptomatic outpatients. N Engl J Med. 1993;329:1365–1369
  16. Ginsberg JS. Management of venous thromboembolism. N Engl J Med. 1996;335:1816–1828
  17. Hull RD, Raskob GE, Ginsberg JS, et al.  A noninvasive strategy for the treatment of patients with suspected pulmonary embolism. Arch Intern Med. 1994;154:289–297
  18. Barnhart K, Mennuti MT, Benjamin I, et al.  Prompt diagnosis of ectopic pregnancy in an emergency department setting. Obstet Gynecol. 1994;84:1010–1015

☆ Address for reprints: E John Gallagher, MD, Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467-2490; 718-920-7459, fax 718-798-6084; E-mail jgallagh@montefiore.org.

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Annals of Emergency Medicine
Volume 34, Issue 5 , Pages 664-667 , November 1999

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