File(s) under permanent embargo
Implementation of the Canadian C-spine rule reduces cervical spine x-ray rate for alert patients with potential neck injury
journal contribution
posted on 2005-02-01, 00:00 authored by Debra KerrDebra Kerr, L Bradshaw, A-M KellyThe objectives of this before-and-after study of alert, stable adult patients presenting to the Emergency Department of Western Hospital with potential neck injuries who were immobilized in hard cervical collars were to determine the impact of implementation of the Canadian C-spine rule on x-ray ordering rates and whether implementation of the rule reduced time in hard collars for patients with potential neck injury. Data collected included demographics, mechanism of injury, x-ray rate, and time in hard collar. Data analysis was by chi-square test for proportions and Mann-Whitney U test for continuous variables. There were 211 patients studied. The x-ray ordering rate decreased from 67% to 50% (25% relative reduction, p = 0.0187). Time in hard collar was also reduced from a median of 128 min to a median of 103 min (effect size 25.5 min), but this did not reach statistical significance. Implementation of the Canadian C-spine rule reduced x-ray ordering by 25%.
History
Journal
Journal of emergency medicineVolume
28Issue
2Pagination
127 - 131Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
0736-4679Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2005, ElsevierUsage metrics
Categories
No categories selectedKeywords
AdolescentAdultAgedAged, 80 and overCervical VertebraeChi-Square DistributionEmergency MedicineEmergency Service, HospitalFemaleHumansImmobilizationMaleMiddle AgedNeck InjuriesOutcome and Process Assessment (Health Care)RadiographyStatistics, NonparametricVictoriax-raytraumadecision rulesScience & TechnologyLife Sciences & Biomedicinecervical spineCLINICAL DECISION RULESSTABLE TRAUMA PATIENTSBLUNT TRAUMAOTTAWA ANKLEEMERGENCYNEED
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC