Here are the clinical prediction rules I routinely use in the clinic.
They are included as a separate chapter in my new book Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting available by AuthorHouse publishers.
Please let me know if you see any omissions. Do you use any rules that I have not included here?
A separate table of decision rules used to to predict treatment, called Treatment Based Classification, was published December 28th, 2012.
|Rule||Author||Year||Level of Rule Development|
|Presence of Community Acquired Pneumonia||Heckerling et al||1990||Level 1 Impact Analysis|
|Ottawa Ankle and Foot Rules||Stiell et al||1992||Level 1 Impact Analysis|
|Well's Criteria for Deep Vein Thrombosis||Well's et al||1995||Level 1 Impact Analysis|
|Ottawa Knee Rule||Stiell et al||1996||Level 1 Impact Analysis|
|Canadian Cervical Spine Rule for Alert and Stable Trauma Patients||Stiell et al||2001||Level 1 Impact Analysis|
|Cancer Rule in Lower Back Pain Patients||Joines et al||2001||Cost Effectiveness study|
|Carpal Tunnel Syndrome||Wainner et al||2005||Derivation|
|Elbow Fracture in Trauma or Sports patients||Appelboam et al||2008||Level 2 Narrow Validation|
|Screening for Vertebral Fractures in Patients with Lower Back Pain||Henschke et al||2009||Derivation|
|Stroke in Dizzy Patients||Kattah et al||2011||Derivation|
The "take away" I get from this table is that the low-hanging fruit has already been picked.
There doesn't seen to be an new impact study in screening for pathology using clinical decision rules in the last decade.
Do we know if clinical decision rules actually influence clinician behavior, improve patient outcomes or lower costs?
Let me know.