Cervical spine injury: A clinical decision rule to identify high-risk patients for helical CT screening

American Journal of Roentgenology

Volumn 174, Issue 3, 2000, Pages 713-717

  Hanson, Julian A ^a   Blackmore, C Craig ^a,b   Mann, Frederick A ^a   Wilson, Anthony J ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

^b UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; AUTOPSY; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; CLINICAL EXAMINATION; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DATA BASE; EMERGENCY HEALTH SERVICE; FEMALE; HIGH RISK PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; PREDICTION; PRIORITY JOURNAL; RADIOLOGY DEPARTMENT; REGISTER; SCREENING;

EID: 0034002503     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/ajr.174.3.1740713     Document Type: Article

References (14)

1. Bracken MB, Freeman DH, Hellenbrand K. Incidence of acute traumatic hospitalized spinal cord injury in the United States, 1970-1977. Am J Epidemiol 1981;113:615-622
2. DeVivo MJ, Rutt RD, Black KJ, Go BK, Stover SL. Trends in spinal cord injury demographics and treatment outcomes between 1973 and 1986. Arch Phys Med Rehabil 1992;73:424-430
3. Vandemark RM. Radiology of the cervical spine in trauma patients: practice pitfalls and recommendations for improving efficiency and communication. AJR 1990;155:465-472
4. American College of Radiology. Appropriateness criteria for imaging and treatment decisions. Reston, VA: American College of Radiology, 1995
5. Nuñez DB Jr, Quencer RM. The role of helical CT in the assessment of cervical spine injuries. AJR 1998; 171:951-957
6. Nunez DB, Ahmad AA, Coin CG, et al. Clearing the cervical spine in multiple trauma victims: a time-effective protocol using helical computed tomography. Emerg Radiol 1994;1:273-278
7. Blackmore CC, Ramsey SD, Mann FA, Deyo RA. Cervical spine screening with computed tomography in trauma patients: a cost-effectiveness analysis. Radiology 1999;212:117-125
8. Jacobs LM, Schwartz R. Prospective analysis of acute cervical spine injury: a methodology to predict injury. Ann Emerg Med 1988;15:44-49
9. Ross SE, Schwab CW, David ET, Delong WG, Born CT. Clearing the cervical spine: initial radiologic evaluation. J Trauma 1978;27:1055-1060
10. Blackmore CC, Emerson SS, Mann FA, Koepsell TD. Cervical spine imaging in patients with trauma: determination of fracture risk to optimize use. Radiology 1999;211:759-765
11. Laupacis A, Seklar N, Stiell IG. Clinical prediction rules: a review and suggested modifications of methodological standards. JAMA 1997;277:488-494
12. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical epidemiology: a basic science for clinical medicine. Boston: Little, Brown, 1991:183-184
13. Mackenzie EJ, Steinwachs DM, Shankar B. Classifying trauma severity based on hospital discharge diagnoses: validation of an ICD-9CM to AIS-85 conversion table. Med Care 1989;27:412-420
14. Woodring JH, Lee C, Duncan V. Transverse process fractures of the cervical vertebrae: are they significant? J Trauma 1993;34:797-802