TY - JOUR
T1 - Selective cervical spine radiography in blunt trauma
T2 - Methodology of the national emergency X-radiography utilization study (NEXUS)
AU - Hoffman, J. R.
AU - Wolfson, A. B.
AU - Todd, K.
AU - Mower, W. R.
N1 - Funding Information:
This project was supported by grant number R01 HS08239 from the Agency for Health Care Policy and Research.
PY - 1998
Y1 - 1998
N2 - Fear of failure to identify cervical spine injury has led to extremely liberal use of radiography in patients with blunt trauma and remotely possible neck injury. A number of previous retrospective and small prospective studies have tried to address the question of whether any clinical criteria can identify patients, from among this group, at sufficiently low risk that cervical spine radiography is unnecessary. The National Emergency X-Radiography Utilization Study (NEXUS) is a very large, federally supported, multicenter, prospective study designed to define the sensitivity, for detecting significant cervical spine injury, of criteria previously shown to have high negative predictive value. Done at 23 different emergency departments across the United States and projected to enroll more than 20 times as many patients with cervical spine injury than any previous study, NEXUS should be able to answer definitively questions about the validity and reliability of clinical criteria used as a preliminary screen for cervical spine injury.
AB - Fear of failure to identify cervical spine injury has led to extremely liberal use of radiography in patients with blunt trauma and remotely possible neck injury. A number of previous retrospective and small prospective studies have tried to address the question of whether any clinical criteria can identify patients, from among this group, at sufficiently low risk that cervical spine radiography is unnecessary. The National Emergency X-Radiography Utilization Study (NEXUS) is a very large, federally supported, multicenter, prospective study designed to define the sensitivity, for detecting significant cervical spine injury, of criteria previously shown to have high negative predictive value. Done at 23 different emergency departments across the United States and projected to enroll more than 20 times as many patients with cervical spine injury than any previous study, NEXUS should be able to answer definitively questions about the validity and reliability of clinical criteria used as a preliminary screen for cervical spine injury.
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U2 - 10.1016/S0196-0644(98)70176-3
DO - 10.1016/S0196-0644(98)70176-3
M3 - Article
C2 - 9774931
AN - SCOPUS:0031765229
SN - 0196-0644
VL - 32
SP - 461
EP - 469
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 4
ER -