Development of a new clinical decision rule for cervical CT to detect cervical spine injury in patients with head or neck trauma.
Takeshi InagakiAkio KimuraGo MakishiShigeru TanakaNoriko TanakaPublished in: Emergency medicine journal : EMJ (2018)
Our initial CT decision rule had lower sensitivity than in our initial validation study. A refined decision rule based on GCS, neck tenderness, neurological deficit and mechanism of injury showed excellent sensitivity with a small loss of specificity. Rule 2 will now need validation in an independent cohort.