Predicting survival in older patients treated for cervical spine fractures: development of a clinical survival score

Cronin, Patrick K.; Ferrone, Marco; Marso, Chase C.; Stieler, Evan K.; Beck, Aaron; Blucher, Justin A.; Makhni, Melvin C.; Simpson, Andrew K.; Harris, Mitchel B.; Schoenfeld, Andrew J.

doi:10.1016/j.spinee.2019.03.009

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…According to our score, the patient's score of 0, without the cervical injury hypothesis, should not require a CT scan in the exclusive occasions, if no predictors' variables were present. According to other studies, patients with paresthesia after neck injury are at moderate to high risks for C-spine fractures, subluxation, dislocation, or traumatic spondylolisthesis [12,13]. We include the variable of paresthesia (1 point) in the moderate risk group, and they require a CT scan.…”

Section: Discussionmentioning

confidence: 99%

Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

Athinartrattanapong

Yuksen

Leela-Amornsin

et al. 2021

Neurology Research International

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Background. Cervical spine fracture is approximately 2%–5%. Diagnostic imaging in developing countries has several limitations. A computed tomography scan is not available 24 hours and not cost-effective. This study aims to develop a clinical tool to identify patients who must undergo a computed tomography scan to evaluate cervical spine fracture in a noncomputed tomography scan available hospital. Methods. The study was a diagnostic prediction rule. A retrospective cross-sectional study was conducted between August 1, 2016, and December 31, 2018, at the emergency department. This study included all patients aged over 16 years who had suspected cervical spine injury and underwent a computed tomography scan at the emergency department. The predictive model and prediction scores were developed via multivariable logistic regression analysis. Results. 375 patients met the criteria. 29 (7.73%) presented with cervical spine fracture on computed tomography scan and 346 did not. Five independent factors (i.e., high-risk mechanism of injury, paraparesis, paresthesia, limited range of motion of the neck, and associated chest or facial injury) were considered good predictors of C-spine fracture. The clinical prediction score for C-spine fracture was developed by dividing the patients into three probability groups (low, 0; moderate, 1–5; and high, 6–11), and the accuracy was 82.52%. In patients with a score of 1–5, the positive likelihood ratio for C-spine fracture was 1.46. Meanwhile, those with a score of 6–11 had an LR+ of 7.16. Conclusion. In a noncomputed tomography scan available hospital, traumatic spine injuries patients with a clinical prediction score ≥1 were associated with cervical spine fracture and should undergo computed tomography scan to evaluate C-spine fracture.

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Section: Discussionmentioning

confidence: 99%

Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

Athinartrattanapong

Yuksen

Leela-Amornsin

et al. 2021

Neurology Research International

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“…(3)(4)(5) There is also considerable mortality associated with cervical spine fractures in older adults, with a recent study showing mortality rates of 12% at 3 months, 17% at 1 year, and 21% at 2 years. (6) The most common fracture patterns in older adults who fall are high cervical spine fractures including atlanto-occipital complex or odontoid fractures, which may explain the high mortality in this population. (7,8) There is clearly a risk of cervical spine fractures in older adults, even after low-level falls, and these injuries and their associated mortality are becoming more common over time.…”

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confidence: 99%

Cervical spine injuries in adults ≥ 65 years after low-level falls – A systematic review and meta-analysis

McCallum

Eagles

Ouyang

et al. 2023

The American Journal of Emergency Medicine

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Prognostic value of laboratory values in older patients with cervical spine fractures

Lipa

Greene

Reyes

et al. 2020

Clinical Neurology and Neurosurgery

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Predicting survival in older patients treated for cervical spine fractures: development of a clinical survival score

Cited by 6 publications

References 24 publications

Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

Cervical spine injuries in adults ≥ 65 years after low-level falls – A systematic review and meta-analysis

Prognostic value of laboratory values in older patients with cervical spine fractures

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