Increased and unjustified CT usage in paediatric C-spine clearance in a level 2 trauma centre
| Autor: | Annelie Slaar, M. Hogervorst, Joost G. ten Brinke, T.P. Saltzherr, Geertruida Slinger, J. Carel Goslings |
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| Přispěvatelé: | Surgery, AMS - Musculoskeletal Health |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sports medicine Radiographic imaging Computed tomography Cervical spine injury Wounds Nonpenetrating Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Trauma Centers 030225 pediatrics CT usage Humans Medicine Trauma centre Orthopedics and Sports Medicine 030212 general & internal medicine Child Aged Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Correction Magnetic Resonance Imaging Cervical spine Spinal Injuries Blunt trauma Paediatric Cervical Vertebrae Emergency Medicine Original Article Surgery Radiology Tomography X-Ray Computed business Trauma protocols |
| Zdroj: | European journal of trauma, 47(3), 781-789. Urban und Vogel European Journal of Trauma and Emergency Surgery |
| ISSN: | 1863-9933 |
| DOI: | 10.1007/s00068-020-01520-z |
| Popis: | Purpose Cervical spine injury after blunt trauma in children is rare but can have severe consequences. Clear protocols for diagnostic workup are, therefore, needed, but currently not available. As a step in developing such a protocol, we determined the incidence of cervical spine injury and the degree of protocol adherence at our level 2 trauma centre. Methods We analysed data from all patients aged Results We included 170 children in the first study period and 83 in the second. One patient was diagnosed with cervical spine injury. Protocol adherence regarding the indication for imaging was > 80% in both periods. Adherence regarding the imaging type decreased over time, with 45.8% of the patients receiving a primary CT scan in the second study period versus 2.9% in the first. Conclusion Radiographic imaging is frequently performed when clearing the paediatric cervical spine, although cervical spine injury is rare. Particularly CT scan usage has wrongly been emerging over time. Stricter adherence to current protocols could limit overuse of radiographic imaging, but ultimately there is a need for an accurate rule predicting which children really are at risk of injury. |
| Databáze: | OpenAIRE |
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