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Blunt abdominal trauma in children: how predictive is ALT for liver injury?
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    Sensitivity or specificity?
    • Shenaida R. Oemar, emergency medicine resident, MD
    • Other Contributors:
      • Rebekka Veugelers MD PhD, Eva Biesbroek MD

    With great interest we read the recent article by Bevan and colleagues reporting how predictive ALT is for liver injury in children with blunt abdominal trauma. In the result section the authors describe the following: "The presence or absence of liver injury can be predicted with a sensitivity of 96% and a specificity of 80%". In their conclusion they reported: "a threshold of >104 IU/L gave a 96% specificity for t...

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