Table 1.
Parameter Name | Base Case Value, % (95% CI) |
---|---|
Prevalence of IAI | 1.7 (1.5–1.9) |
Sensitivity of CDR strategy‡ | 97.0 (93.7–98.9) |
Specificity of CDR strategy | 42.5 (41.6–43.4) |
Sensitivity of usual care strategy | 99.5 (96.7–100.0) |
Specificity of usual care strategy | 56.2 (55.3–57.1) |
Sensitivity of CDR+ arm | 99.5 (96.6–100.0) |
Specificity of CDR+ arm | 42.2 (41.0–43.3) |
Accuracy of abdominal CT in detecting IAI | |
Sensitivity | 98.2 (94.3–99.5) |
Specificity | 100.0 (98.1–100.0) |
% of IAI requiring therapeutic laparotomy or angiography | 61.6 (54.5–74.4) |
CDR = clinical decision rule; CDR+ = at least one CDR criterion present; IAI = intraabdominal injury requiring acute intervention.
See Data Supplement S1 for complete list of probabilities.
Probabilities are derived from PECARN study data.12
Sensitivity of CDR strategy refers to accuracy of CDR to identify patients with IAI (one or more CDR criterion present) and does not imply CT imaging.