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Appropriate Cervical Spine Radiography and CT Imaging in Trauma

CBE ID
0755
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 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).

        • 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
          American College of Emergency Physicians
          Steward Organization POC Email