SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury

Essais extraits du podcast de Dr. Ken Milne

• 2024Triage tools for detecting cervical spine injury in paediatric trauma patientsImaging & DiagnosticsIn 21,379 children with blunt trauma, seven clinical decision rules detected cervical spine injury with high sensitivity but low specificity versus imaging.
• 2011Factors Associated With Cervical Spine Injury in Children After Blunt TraumaImaging & DiagnosticsIn 540 children with cervical spine injury after blunt trauma, an 8-factor clinical model was 98% sensitive for injury compared with uninjured controls.
• 2024PECARN C-SpineImaging & DiagnosticsIn 22,430 children with blunt trauma, the PECARN cervical spine prediction rule detected clinically important cervical spine injury against confirmed imaging and follow-up diagnosis.