Purpose: To identify patients likely to present with a vertebral compression fracture.
Rule:
Roman et al., 2010:
1. Age > 52 years
2. No presence of leg pain
3. Body mass index < 22
4. Does not exercise regularly
5. Female gender
Stage of CPR Development: Derivation.
| Variables | Sensitivity | Specificity | +LR | -LR |
| 1 | 0.97 | 0.06 | 1.04 | 0.39 |
| 2 | 0.95 | 0.34 | 1.40 | 0.16 |
| 3 | 0.76 | 0.68 | 2.50 | 0.34 |
| 4 | 0.37 | 0.96 | 9.60 | 0.65 |
| 5 | 0.03 | 0.99 | 9.30 | 0.97 |
Henschke et al., 2009:
1. Female sex
2. Age > 70 years old
3. Significant trauma (major in young patients, minor in elderly patients)
4. Prolonged use of corticosteroids
Stage of CPR Development: Derivation.
| Variables | Sensitivity | Specificity | +LR |
| 1 | 0.88 | 0.50 | 1.8 |
| 2 | 0.63 | 0.96 | 15.5 |
| 3 | 0.38 | 1.00 | 218.3 |
Continued Learning…
Continued Reading…
John Snyder, DPT 
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