Using Cervical spine CT Scan as the First Line of Diagnosis in Management of Patients with Neck Trauma; a Letter to Editor
Iranian Journal of Emergency Medicine,
Vol. 8 No. 1 (2021),
23 November 2020
,
Page e35
https://doi.org/10.22037/ijem.v8i1.36837
Abstract
It seems that computed tomography (CT) scan, which does not have the limitations of plain cervical spine radiography, can be considered as the first line modality in decision-making for patients with neck trauma and performing radiography can be omitted. The findings of the present study on 100 patients over the age of 16 years with stable hemodynamics, who presented to a university affiliated trauma center in Tehran, Iran, following multiple trauma indicated an overall agreement of 79% between radiography and CT scan findings based on the calculation of kappa coefficient (p = 0.001). In addition, sensitivity of radiography in detection of injuries in this study was estimated as 82% and its specificity was estimated as 76%. It seems that the role of plain radiography in evaluation of neck traumas should be revised as it has low accuracy, especially where CT scan is available.
- Nonpenetrating
- Wounds, Penetrating
- Neck Injuries
How to Cite
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