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Appropriate Cervical Spine Radiography and CT Imaging in Trauma

CBE ID
0755
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percent of adult patients undergoing cervical spine radiography or CT imaging for trauma who have a documented evidence-based indication prior to imaging (Canadian C-Spine Rule or the NEXUS Low-Risk Criteria).

    Measure Specs
      General Information
      1.14 Numerator

      Number of denominator patients who have a documented evidence-based indication prior to imaging.

      1.15 Denominator

      Number of adult patients undergoing cervical spine radiography or CT for trauma (as initial imaging of C-spine)

      Exclusions

      Patients who have not experienced trauma
      <16 years of age or >65 years of age
      Patients with a reduced ability to communicate (verbal or cognitive dysfunction)
      Underwent prior cervical spine radiograph (3 view or more) that is interpreted as inadequate to fully assess fracture
      Underwent prior imaging concerning or diagnostic for injury of the cervical spine requiring further imaging

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Neurology Fall Cycle 2017
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      American College of Emergency Physicians
      Steward POC email
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