Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule

Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule Publisher Pubmed

Ghelichkhani P¹ ; Shahsavarinia K² ; Gharekhani A³ ; Taghizadieh A⁴ ; Baratloo A^{5, 6} ; Fattah FHR⁷ ; Abbasi N⁸ ; Gubari MIM⁹ ; Faridaalee G⁹ ; Dinpanah H¹⁰ ; Yekaninejad MS¹¹ ; Esmaeili A¹² ; Jones ME¹³ ; Askarianamiri S¹⁴ Show All Authors

Ghelichkhani P¹
Shahsavarinia K²
Gharekhani A³
Taghizadieh A⁴
Baratloo A^{5, 6}
Fattah FHR⁷
Abbasi N⁸
Gubari MIM⁹
Faridaalee G⁹
Dinpanah H¹⁰
Yekaninejad MS¹¹
Esmaeili A¹²
Jones ME¹³
Askarianamiri S¹⁴
Yousefifard M¹⁴
Hosseini M^{11, 15}

Show Affiliations

1. Department of Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3. Department of Clinical Pharmacy (Pharmacotherapy), Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4. Tuberculosis and Lung Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
5. Pre-Hospital and Hospital Research Center, Tehran University of Medical Sciences, Tehran, Iran
6. Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
7. Community Medicine, College of Medicine, University of Sulaimani, Sulaimani, Iraq
8. Department of Emergency Medicine, Maragheh University of Medical Sciences, Maragheh, Iran
9. Community Health Department, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, Iraq
10. Emergency Department, 9-Day Hospital, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
11. Department of Epidemiology and Biostatistics School of Public Health, Tehran University of Medical Sciences, Poursina Ave, Tehran, Iran
12. Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
13. Division of Genetics and Epidemiology, The Institute of Cancer Research, London, United Kingdom
14. Physiology Research Center, School of Medicine, Iran University of Medical Sciences, Hemmat Highway, Tehran, Iran
15. Pediatric Chronic Kidney Disease Research Center, University of Medical Sciences, Tehran, Iran

Source: Radiologia Medica Published:2021

Abstract

Purpose: Although, Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS) criteria in ruling out clinically important cervical spine injuries have been validated using large prospective studies, no consensus exist as to which rule should be endorsed. Therefore, the aim of the present study was to compare the accuracy of the Canadian C-spine and NEXUS criteria in ruling out clinically important cervical spine injuries in trauma patients. Finally, we introduced the modified Canadian C-spine rule. Methods: A prospective diagnostic accuracy study was conducted on trauma patients referred to four emergency departments of Iran in 2018. Emergency physicians evaluated the patients based on the Canadian C-spine rule and NEXUS criteria in two groups of low risk and high risk for clinically important cervical spine injury. Afterward, all patients underwent cervical imaging. In addition, modified Canadian C-spine rule was derived by removing dangerous mechanism and simple rear-end motor vehicle collision from the model. Results: Data from 673 patients were included. The area under the curve of the NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 0.76 [95% confidence interval (CI) 0.71–0.81)], 0.78 (95% CI 0.74–0.83), and 0.79 (95% CI 0.74–0.83), respectively. The sensitivities of NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 93.4%, 100.0% and 100.0%, respectively. Conclusions: The modified Canadian C-spine rule has fewer variables than the original Canadian C-spine rule and is entirely based on physical examination, which seems easier to use in emergency departments. © 2020, Italian Society of Medical Radiology.

2. Performance of Physiology Scoring Systems in Prediction of In-Hospital Mortality of Traumatic Children: A Prospective Observational Study, Journal of Clinical Orthopaedics and Trauma (2017)

Experts (# of related papers)

Mostafa Hosseini (2)

Style	Citing Format
MLA	Ghelichkhani P, et al.. "Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule." Radiologia Medica, vol. 126, no. 3, 2021, pp. 414-420.
APA	Ghelichkhani P, Shahsavarinia K, Gharekhani A, Taghizadieh A, Baratloo A, Fattah FHR, Abbasi N, Gubari MIM, Faridaalee G, Dinpanah H, Yekaninejad MS, Esmaeili A, Jones ME, Askarianamiri S, Yousefifard M, Hosseini M (2021). Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule. Radiologia Medica, 126(3), 414-420.
Chicago	Ghelichkhani P, Shahsavarinia K, Gharekhani A, Taghizadieh A, Baratloo A, Fattah FHR, Abbasi N, et al.. "Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule." Radiologia Medica 126, no. 3 (2021): 414-420.
Harvard	Ghelichkhani P et al. (2021) 'Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule', Radiologia Medica, 126(3), pp. 414-420.
Vancouver	Ghelichkhani P, Shahsavarinia K, Gharekhani A, Taghizadieh A, Baratloo A, Fattah FHR, et al.. Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule. Radiologia Medica. 2021;126(3):414-420.
BibTex	@article{ author = {Ghelichkhani P and Shahsavarinia K and Gharekhani A and Taghizadieh A and Baratloo A and Fattah FHR and Abbasi N and Gubari MIM and Faridaalee G and Dinpanah H and Yekaninejad MS and Esmaeili A and Jones ME and Askarianamiri S and Yousefifard M and Hosseini M}, title = {Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule}, journal = {Radiologia Medica}, volume = {126}, number = {3}, pages = {414-420}, year = {2021} }
RIS	TY - JOUR AU - Ghelichkhani P AU - Shahsavarinia K AU - Gharekhani A AU - Taghizadieh A AU - Baratloo A AU - Fattah FHR AU - Abbasi N AU - Gubari MIM AU - Faridaalee G AU - Dinpanah H AU - Yekaninejad MS AU - Esmaeili A AU - Jones ME AU - Askarianamiri S AU - Yousefifard M AU - Hosseini M TI - Value of Canadian C-Spine Rule Versus the Nexus Criteria in Ruling Out Clinically Important Cervical Spine Injuries: Derivation of Modified Canadian C-Spine Rule JO - Radiologia Medica VL - 126 IS - 3 SP - 414 EP - 420 PY - 2021 ER -

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