Sherwin P Schrag1, Lori J Toedter, Nathaniel McQuay. 1. Division of Trauma/Surgical Critical Care, St. Luke's Hospital and University of Pennsylvania Trauma Network, 801 Ostrum St., Bethlehem, PA 18015, USA.
Abstract
BACKGROUND: Studies have identified clinical predictors to guide radiologic evaluation of the cervical spine in geriatric patients. We hypothesized that clinical predictors are not adequate in the identification of cervical spine fractures in geriatric blunt trauma patients with low-energy mechanism. METHODS: A retrospective case-control study was performed on geriatric blunt trauma patients sustaining low-energy trauma from January 2000 to January 2006. A data form including 8 clinical predictors was completed for each group. RESULTS: There were 35 study and 64 control patients identified. Both groups were similar in age (study 83.6 vs control 81.2) and injury severity score (study 9.06 vs control 9.61). Only neck tenderness exceeded the expected occurrence in the presence of a cervical spine injury (chi(2) = 18.1, P = .001) in just 45.5% of the study group. CONCLUSIONS: Clinical predictors appear inadequate for the evaluation of the cervical spine in geriatric trauma patients with low-energy mechanism.
BACKGROUND: Studies have identified clinical predictors to guide radiologic evaluation of the cervical spine in geriatric patients. We hypothesized that clinical predictors are not adequate in the identification of cervical spine fractures in geriatric blunt traumapatients with low-energy mechanism. METHODS: A retrospective case-control study was performed on geriatric blunt traumapatients sustaining low-energy trauma from January 2000 to January 2006. A data form including 8 clinical predictors was completed for each group. RESULTS: There were 35 study and 64 control patients identified. Both groups were similar in age (study 83.6 vs control 81.2) and injury severity score (study 9.06 vs control 9.61). Only neck tenderness exceeded the expected occurrence in the presence of a cervical spine injury (chi(2) = 18.1, P = .001) in just 45.5% of the study group. CONCLUSIONS: Clinical predictors appear inadequate for the evaluation of the cervical spine in geriatric traumapatients with low-energy mechanism.
Authors: Meena M Sran; Paula J Stotz; Sarah C Normandin; Stephen N Robinovitch Journal: J Gerontol A Biol Sci Med Sci Date: 2009-10-27 Impact factor: 6.053
Authors: Vincent P Anto; Joshua B Brown; Andrew B Peitzman; Brian S Zuckerbraun; Matthew D Neal; Gregory Watson; Raquel Forsythe; Timothy R Billiar; Jason L Sperry Journal: World J Emerg Surg Date: 2018-07-04 Impact factor: 5.469