Journal of Advanced Biomedical Sciences

en Comparative Diagnostic Accuracy of the NEXUS Criteria and the Canadian C-Spine Rule in Cervical Spine Trauma سایر other پژوهشي Research <div style="text-align: justify;">Background & Objectives: Road traffic injuries are the fourth most common cause of death globally, according to surveys. The Canadian Cervical-Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) Low-Risk Criteria (NLC) are decision rules to guide the use of cervical-spine radiography in patients with trauma. In this study we aim to evaluate and compare the sensitivity and specificity of these rules in trauma patients for suspected C-spine injury. Materials & Methods: 500 patients were prospectively enrolled, in the event of them meeting the criteria. They were subjected to radiologic studies (X-ray or CT) of the cervical spine if they met NEXUS criteria or the CCR. Results: Of the 500 patients, 44.5% were subjected to radiography based on the NEXUS score and 58.8% based on the Canadian CCR. When the CCR was applied, the test was found to be 95.2% sensitive, 54.2% specific, 65% accurate, and with 42.6% positive predictive value and 97% negative predictive value. When NEXUS criteria were applied, sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 100%, 75.3%, 59%, 100%, and 81.8%, respectively. Conclusion: When the NEXUS score was applied, the diagnostic accuracy was better. With the CCR, a greater number of patients were subjected to radiological evaluation. Either of the two criteria may be applied for emergency care in the Indian population to avoid unnecessary investigations. CCR followed by NEXUS criteria is recommended, and the utilization of the same is to be studied in a larger population.  </div> Cervical Spine Trauma, Diagnosis, NEXUS Criteria, Canadian C-Spine Rule 61 69 http://jabs.fums.ac.ir/browse.php?a_code=A-10-3505-1&slc_lang=en&sid=1 Mohammed Fabin محمد فابین fa696fa@gmail.com 100319475328460030476 0009-0005-5791-4772 No Department of Emergency Medicine and Traumacare, KMCT Medical College, Calicut, India گروه طب اورژانس و تروما، کالج پزشکی KMCT، کالیکوت، هند Aswin Abbas آسوین عباس aswin.abbas@gmail.com 100319475328460030477 0009-0002-9314-5833 No Department of Emergency Medicine, Mother Care Hospital, Mannarkkad, India بخش طب اورژانس، بیمارستان مراقبت از مادر، مانارکاد، هند Rameez Roshan رامیز روشن raz1924@gmail.com 100319475328460030478 0009-0001-8713-898X No Department of Orthopaedics, Government Medical College, Calicut, India گروه ارتوپدی، کالج پزشکی دولتی، کالیکوت، هند Bimal Govind بیمال گاویند bimalgovind@gmail.com 100319475328460030479 0009-0005-8642-0173 No Department of Neurosurgery, KMCT Medical College, Calicut, India گروه جراحی مغز و اعصاب، کالج پزشکی KMCT، کالیکوت، هند Swathy Shanker سواتی شانکر swathyshanker.ss@gmail.com 100319475328460030480 0009-0004-1186-4856 Yes Department of PG studies and Research, KMCT Medical College, Calicut, India گروه مطالعات و تحقیقات PG، کالج پزشکی KMCT، کالیکوت، هند