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Management of irritable hip: a review of hospital admission policy

Taylor, G. R. and Clarke, N. M. P. (1994) Management of irritable hip: a review of hospital admission policy Archives of Disease in Childhood, 71, (1), pp. 59-63. (doi:10.1136/adc.71.1.59). (PMID:8067794).

Record type: Article


The case notes of all children admitted
during the preceding five years for
observation with painfil hips (509
patients) were analysed to determine
significant diagnostic factors and thus
to design an admission policy. Most
orthopaedic disorders (62 patients) were
apparent on the initial radiographs, with
the important exception of osteomyelitis/
septic arthritis (21 patients). The
remaining 426 patients were diagnosed by
exclusion as having an irritable hip. The
latter two groups were similar with
respect to age, sex, and duration and
nature of symptoms. A number of clinical
features and laboratory investigations
recorded within 12 hours of admission,
however, were shown to have significant
discriminative value. These were severe
spasm, tenderness, pyrexia 3380C, and
an erythrocyte sedimentation rate of
320 mm/hour (the white cell count was
not significant). Combination of any
two of these produced a specificity and
sensitivity for sepsis of 91% and 95%
respectively (95% confidence interval 0-64
to 0.97). A protocol designed from this
data analysis is now being tested and
is expected to result in a significant
reduction in admission rates.

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Published date: July 1994


Local EPrints ID: 190441
ISSN: 0003-9888
PURE UUID: cec39649-b031-476a-97ab-c3072bdc3d39

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Date deposited: 21 Jun 2011 10:25
Last modified: 18 Jul 2017 11:38

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