Radiological assessment of paediatric cervical spine injury in blunt trauma: the potential impact of new NICE guidelines on the use of CT
| Autor: | J. Evanson, S. Cross, J. Davies |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Nice Cervical spine injury Wounds Nonpenetrating Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Prevalence Humans Radiology Nuclear Medicine and imaging Child computer.programming_language Potential impact business.industry Head injury Infant Newborn Infant Reproducibility of Results Retrospective cohort study General Medicine medicine.disease United Kingdom medicine.anatomical_structure Neurology Blunt trauma Radiological weapon Child Preschool Practice Guidelines as Topic Utilization Review Cervical Vertebrae Spinal Fractures Female Radiology Guideline Adherence business Tomography X-Ray Computed computer 030217 neurology & neurosurgery Cervical vertebrae |
| Zdroj: | Clinical radiology. 71(9) |
| ISSN: | 1365-229X |
| Popis: | To determine the potential effect of changes to the National Institute for Health and Care Excellence (NICE) guidelines to the use of computed tomography (CT) in the assessment of suspected paediatric cervical spine (c-spine) injury.A 5 year retrospective study was conducted of c-spine imaging in paediatric (10 years) patients presenting following blunt trauma at a Level 1 trauma centre in London. All patients under the age of 10 years who underwent any imaging of the c-spine following blunt trauma were included. Clinical data relating to the presenting signs and symptoms were obtained from the retrospective review of electronic records and paper notes. This was then applied to the previous NICE guideline (CG56) and to the new NICE guideline (CG176). Patients with incomplete data were excluded.Two hundred and seventy-eight patients10 years underwent imaging of the c-spine following blunt trauma. Two hundred and seventy (97.12%) examinations had complete data and were included in further analysis. One hundred and forty-nine (55.19%) met the criteria for a CT of the c-spine under NICE CG56, whereas 252 (93.33%) met the updated NICE CG176 criteria for c-spine CT. Five (1.85%) patients had a c-spine injury and met the criteria under both CG56 and CG176 NICE guidelines.Recent changes to NICE Head Injury Guidelines relating to radiological assessment of paediatric c-spine following blunt trauma are likely to result in an increased usage of CT as the initial radiological investigation over plain radiographs, without an apparent increase in specificity in the present series. |
| Databáze: | OpenAIRE |
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