Report generated with Calculate by QxMD at https://www.qxmd.com/calculate
Over 400 decision support tools available • get the app for iOS or Android at qx.md/calculate
The Canadian C-Spine Rule should only be used using the original enrollment criteria. Enrolment criteria included stable trauma patients, GCS 15, Injury <48 hrs ago, Age >16 years, absence of known vertebral disease, absence of penetrating trauma, and not pregnant. A Sensitivity of 100% and a Specificity of 42.5% were demonstrated in the derivation study.
A comparison study between the NEXUS Criteria and the Canadian C-Spine Rule suggested that the NEXUS criteria are less sensitive (90.7 vs. 95-99%), though there remains some controversy over the results and methodology.
References
Stiell et al. The Canadian C-Spine Rule for radiography in alert and stable trauma patients. JAMA 286,p.1841, 2001.
View Abstract
Stiell et al. The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma. NEJM Vol 349, p.2510, 2003
View Abstract
Do you have an enquiry or suggestion? Get in touch with us through Twitter @QxMD, Facebook QxMD, or email contact@qxmd.com