Table 4.
Physical Examination Findings
| Finding | Present in Operative Group (%) | Present in Nonoperative Group (%) | p Value | Sensitivity, % (95% CI) | Specificity, % (95% CI) | PPV, % (95% CI) | NPV, % (95% CI) | Positive Likelihood Ratio (95% CI) | Negative Likelihood Ratio (95% CI) |
|---|---|---|---|---|---|---|---|---|---|
| Seat belt sign | 12 (70.6) | 147 (17.6) | <0.0001 | 70.6 (44.0–89.7) | 82.4 (79.7–85.0) | 7.6 (5.5–10.3) | 99.3 (98.5–99.7) | 4.0 (2.9–5.7) | 0.4 (0.2–0.8) |
| Abdominal bruising | 7 (41.2) | 77 (9.2) | <0.0001 | 41.2 (18.4–67.1) | 90.8 (88.7–92.7) | 8.2 (4.7–14.3) | 98.7 (98.1–99.1) | 4.5 (2.5–8.2) | 0.7 (0.4–0.9) |
| Open abdominal wound | 13 (76.5) | 8 (1.0) | <0.0001 | 76.5 (50.1–93.2) | 99.1 (98.1–99.6) | 61.9 (43.7–77.3) | 99.5 (98.9–99.8) | 80.3 (38.4–168.0) | 0.2 (0.1–0.6) |
| Abdominal tenderness, peritonitis | 13 (76.5) | 106 (12.6) | <0.0001 | 76.5 (50.1–93.2) | 87.4 (84.9–89.6) | 10.9 (8.2–14.4) | 99.5 (98.7–99.8) | 6.06 (4.41–8.33) | 0.27 (0.11–0.63) |
CI = confidence interval; NPV = negative predictive value; PPV = negative predictive value.