| Application of imaging guidelines in patients with suspected cervical spine trauma: retrospective analysis and literature review. | |
| | |
MedLine Citation:
|
PMID: 20809342 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
Safe and efficient clearance of cervical spine injury in blunt trauma patients has been a controversial topic among health professionals. The increased availability of CT scanners in major trauma centers seems to be a factor that has led to increased number of unnecessary cervical spine imaging using this imaging modality. The objective of this study was to investigate the applicability and efficacy of a pre-test clinical criterion in order to stratify post-blunt trauma victims based on their risk of sustaining cervical spine injury and in turn recommend an appropriate imaging modality accordingly. Goergen's criteria (Australas Radiol 48(3):287, 2004), a pre-investigation diagnostic algorithm was retrospectively applied to 106 blunt trauma victims who presented to a level 1 trauma center in Sydney, Australia, and had a CT scan of cervical spine as part of their initial management. Overall, nine (8.5%) of patients sustained a significant cervical spine injury. All nine patients would be classified as high-risk victims according to the algorithm investigated in this study, warranting CT scanning. No patients with low-risk injuries were demonstrated to have a significant cervical spine injury. There was a statistically significant greater proportion of acute cervical spine injuries detected in the high-risk group (p value = 0.0024). Hence, using Goergen's diagnostic algorithm could reduce the number of unnecessary cervical spine CT scans ordered, while not compromising the quality of care in post-blunt trauma victims. |
| | |
Authors:
|
Nima Kokabi; Daniel M S Raper; Minzhi Xing; Bruno Mario Giuffre |
Publication Detail:
|
Type: Journal Article Date: 2010-08-31 |
Journal Detail:
|
Title: Emergency radiology Volume: 18 ISSN: 1438-1435 ISO Abbreviation: Emerg Radiol Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9431227 Medline TA: Emerg Radiol Country: United States |
Other Details:
|
Languages: eng Pagination: 31-8 Citation Subset: IM |
Affiliation:
|
Northern Clinical School, Royal North Shore Hospital, University of Sydney, Reserve Road, St Leonards, NSW 2065, Australia. nkok4872@uni.sydney.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: About hierarchical log linear analysis of admission blood parameters and clinical outcome following ...
Next Document: Two cases of ruptured cerebral aneurysms presenting with contralateral hematomas.