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At the end of the study we performed a sensitivity analysis to assess the differences between the patients who did undergo lumbar puncture and those who did not.Sample sizeWe anticipated that, for a life threatening problem such as subarachnoid haemorrhage, clinicians would expect 100% sensitivity with a narrow confidence interval (such as 97% to 100%).26 Thus, we estimated that we required over 100 patients with subarachnoid haemorrhage in whom computed tomography was performed in less than six hours from onset of headache. With an overall prevalence of subarachnoid haemorrhage of about 7% in our previous work of similar patients and a median delay to imaging of six hours for positive subarachnoid cases (that is, in half of positive cases imaging was carried out within six hours of onset of headache), we estimated we required a total sample size of about 2860 patients.ResultsWe enrolled 3132 patients, including 240 (7.7%) with confirmed subarachnoid haemorrhage, from among 5424 potentially eligible patients with headache who presented to the study sites during our study (figure).Flow and follow up of patients in study of computed tomography for diagnosis of subarachnoid haemorrhageOpen in new tabFor all study patients, the sensitivity of computed tomography overall was 92.9% (95% confidence interval 89.0% to 95.5%), the specificity was 100% (99.9% to 100%), the negative predictive value was 99.4% (99.1% to 99.6%), and the positive predictive value was 100% (98.3% to 100%) (table 3). In four additional patients, classified as not having subarachnoid haemorrhage, the initial computed tomogram indicated an aneurysm without haemorrhage, and they underwent angiography.

This statistics only given the coastwise, Percentage of child Labour participate in the camp. Out of total participants only few of them were literate otherwise majority of them were illiterate. Some of them disclosed that they had attended the schools and wee studiad from 1st to VIIth stds.

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Joined 2018-12-30

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