Value of Canadian C-spine rule versus the NEXUS criteria in ruling out clinically important cervical spine injuries: derivation of modified Canadian C-spine rule
| Autor: | Najmeh Abbasi, Hossein Dinpanah, Mahmoud Yousefifard, Ali Taghizadieh, Michael Jones, Mohammed I. M. Gubari, Shaghayegh Askarian-Amiri, Alireza Esmaeili, Gholamreza Faridaalee, Parisa Ghelichkhani, Mir Saeed Yekaninejad, Kavous Shahsavarinia, Mostafa Hosseini, Afshin Gharekhani, Alireza Baratloo, Fattah Hama Rahim Fattah |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Physical examination Iran 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Clinical Decision Rules medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Derivation Prospective cohort study Aged Neuroradiology medicine.diagnostic_test business.industry Interventional radiology General Medicine Middle Aged musculoskeletal system Magnetic Resonance Imaging Cervical spine Confidence interval Checklist Radiography Spinal Injuries Area Under Curve 030220 oncology & carcinogenesis Cervical Vertebrae Physical therapy Female Tomography X-Ray Computed business Nexus (standard) |
| Zdroj: | La radiologia medica. 126:414-420 |
| ISSN: | 1826-6983 0033-8362 |
| Popis: | Although, Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS) criteria in ruling out clinically important cervical spine injuries have been validated using large prospective studies, no consensus exist as to which rule should be endorsed. Therefore, the aim of the present study was to compare the accuracy of the Canadian C-spine and NEXUS criteria in ruling out clinically important cervical spine injuries in trauma patients. Finally, we introduced the modified Canadian C-spine rule. A prospective diagnostic accuracy study was conducted on trauma patients referred to four emergency departments of Iran in 2018. Emergency physicians evaluated the patients based on the Canadian C-spine rule and NEXUS criteria in two groups of low risk and high risk for clinically important cervical spine injury. Afterward, all patients underwent cervical imaging. In addition, modified Canadian C-spine rule was derived by removing dangerous mechanism and simple rear-end motor vehicle collision from the model. Data from 673 patients were included. The area under the curve of the NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 0.76 [95% confidence interval (CI) 0.71–0.81)], 0.78 (95% CI 0.74–0.83), and 0.79 (95% CI 0.74–0.83), respectively. The sensitivities of NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 93.4%, 100.0% and 100.0%, respectively. The modified Canadian C-spine rule has fewer variables than the original Canadian C-spine rule and is entirely based on physical examination, which seems easier to use in emergency departments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink