- •61.7% of adolescent blunt trauma patients received CSCT, while only 8.3% had a positive finding on CSCT.
- •All patients with a positive CSCT failed NEXUS criteria.
- •39% of patients with a negative CSCT met NEXUS criteria indicating a low risk of cervical spine injury.
- •This ATC had a low rate of positive findings on CSCT indicating CSCT was overutilized at the trauma center.
- •Use of NEXUS criteria as a screening tool for adolescent blunt trauma patients has the potential to reduce unnecessary CSCT by almost 40%.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Deaths: Leading Causes for 2017.National Vital Statistics Reports, Hyattsville, MD2019: 68
- Diagnostic imaging of blunt abdominal trauma in pediatric patients.Radiol Med. 2016; 121: 409-430
- Pediatric cervical spine injuries: defining the disease.J Pediatr Surg. 2001; 36: 373-376
- Cervical spine computed tomography utilization in pediatric trauma patients.J Pediatr Surg. 2014; 49: 333-337
- Detection of pediatric cervical spine injury.Neurosurgery. 2008; 62 (discussion 700-708): 700-708
- Diagnostic radiation exposure in pediatric trauma patients.J Trauma. 2011; 70: E24-E28
- The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk.JAMA Pediatr. 2013; 167: 700-707
- Klang E Overuse of CT and MRI in paediatric emergency departments.Br J Radiol. 2018; 91: 20170434
- Trends in use of medical imaging in US health care systems and in Ontario, Canada, 2000-2016.JAMA. 2019; 322: 843-856
- Variation in utilization of computed tomography imaging at tertiary pediatric hospitals.Pediatrics. 2015; 136: e1212-e1219
- Pediatric and adult trauma centers differ in evaluation, treatment, and outcomes for severely injured adolescents.J Pediatr Surg. 2016; 51: 1346-1350
- Computed tomography rates and estimated radiation-associated cancer risk among injured children treated at different trauma center types.Injury. 2019; 50: 142-148
- Zucker MI Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group.N Engl J Med. 2000; 343: 94-99
- Triage tools for detecting cervical spine injury in pediatric trauma patients.Cochrane Database Syst Rev. 2017; 12: CD011686
- Factors associated with the use of cervical spine computed tomography imaging in pediatric trauma patients.Acad Emerg Med. 2011; 18: 905-911
- Age limit of pediatrics.Pediatrics. 2017; 140: 2017-2151
- A prospective multicenter study of cervical spine injury in children.Pediatrics. 2001; 108: E20
- Challenges and progress in identifying cervical spine injuries in children.Pediatrics. 2019; 144: e20184052
- Paediatric cervical spine injury but NEXUS negative.Emerg Med J. 2007; 24: 676
- Comparison of computed tomography use and mortality in severe pediatric blunt trauma at pediatric level I trauma centers versus adult level 1 and 2 or pediatric level 2 trauma centers.Pediatr Emerg Care. 2020; 38: e138-e142
- Utilization of CT imaging in minor pediatric head, thoracic, and abdominal trauma in the United States.J Pediatr Surg. 2020; 55: 1766-1772
- Variation in pediatric cervical spine imaging across trauma centers-A cause for concern?.J Trauma Acute Care Surg. 2021; 91: 641-648
- Pediatric cervical spine injury in the United States: defining the burden of injury, need for operative intervention, and disparities in imaging across trauma centers.J Pediatr Surg. 2021; 56: 293-296
- Computed tomography scan utilization in pediatric trauma: impact on length of stay and incidence of false positive findings.Pediatr Emerg Care. 2020; 37: e1478-e1481