“Next Is Nexus” – A Retrospective Study To Check The Usefulness Of The Nexus Criteria Decision Instrument For Clearing The Cervical Spine Injury Following Blunt Trauma.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Fear of failure to identify cervical spine injury has led to extremely liberal use of radiography in patients with blunt trauma and remotely possible neck injury. Eliminating even a small proportion of the cervical-spine radiographs ordered for patients with blunt trauma could lead to substantial savings and decrease patients' exposure to ionizing radiation. The National Emergency X-Radiography Utilization Study (NEXUS) is a very large, federally supported, multicenter, prospective study designed to define the sensitivity, for detecting significant cervical spine injury, of criteria previously shown to have high negative predictive value. We did a retrospective study of 100 case records to find out the usefulness of the NEXUS criteria decision instrument for clearing the cervical spine injury following blunt trauma.The sensitivity and specificity was 95,17,92 and 15 in the all patients group and the patients with clinically significant injury group, respectively.We recommend the routine use of the NEXUS criteria decision instrument in blunt injuries to clear the cervical spine in the Emergency Department.
Authors and Affiliations
Dr Arnab Sinha, Dr Santosh Kumar, Dr Riteshrunu
Keywords
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- EP ID EP592557
- DOI 10.9790/0853-1604012932.
- Views 43
- Downloads 0
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