Research Repository

Implementation Of The Canadian C-Spine Rule Reduces Cervical Spine X-Ray Rate for Alert Patients with Potential Neck Injury

Kerr, Debra and Bradshaw, Luke and Kelly, Anne-Maree (2005) Implementation Of The Canadian C-Spine Rule Reduces Cervical Spine X-Ray Rate for Alert Patients with Potential Neck Injury. The Journal of Emergency Medicine, 28 (2). pp. 127-131. ISSN 0736-4679

Full text for this resource is not available from the Research Repository.

Abstract

The 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%.

Item Type: Article
Uncontrolled Keywords: ResPubID19032, x-ray, cervical spine, trauma, decision rules
Subjects: FOR Classification > 1199 Other Medical and Health Sciences
Faculty/School/Research Centre/Department > School of Nursing and Midwifery
Related URLs:
Depositing User: VUIR
Date Deposited: 01 Feb 2012 22:39
Last Modified: 03 May 2013 02:20
URI: http://vuir.vu.edu.au/id/eprint/2796
DOI: 10.1016/j.jemermed.2004.08.016
ePrint Statistics: View download statistics for this item
Citations in Scopus: 13 - View on Scopus

Repository staff only

View Item View Item

Search Google Scholar