• Ann Emerg Med · Apr 1999

    Review

    Methodologic standards for the development of clinical decision rules in emergency medicine.

    • I G Stiell and G A Wells.
    • Division of Emergency Medicine, Departments of Medicine, Epidemiology and Community Medicine, Ottawa Hospital Loeb Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
    • Ann Emerg Med. 1999 Apr 1; 33 (4): 437-47.

    AbstractThe purpose of this review is to present a guide to help readers critically appraise the methodologic quality of an article or articles describing a clinical decision rule. This guide will also be useful to clinical researchers who wish to answer 1 or more questions detailed in this article. We consider the 6 major stages in the development and testing of a new clinical decision rule and discuss a number of standards within each stage. We use examples from emergency medicine and, in particular, examples from our own research on clinical decisions rules for radiography in trauma.

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