Presentation Date
13-10-2022 12:00 AM
Description
Current screening guidelines for intoxicated trauma patients favor the routine use of cervicalspine (c-spine) CT scans. The objective of this study was to identify parameters that predispose intoxicated trauma patients to c-spine injuries in order to refine diagnostic imaging utilization. A retrospective chart review of intoxicated adult trauma patients involved in motor vehicle collisions presenting to a Level I trauma center from March 2020-September 2021 was performed. Baseline demographics, protective devices, and Injury Severity Score (ISS) were assessed in patients with c-spine fractures or nerve root damage, diagnosed by clinical examination and imaging, compared to patients without injuries. Univariate and multivariate analyses were performed. Of 485 patients, 8% (N=40) had c-spine injuries. Patients between the ages of 45-64 years (p=0.007) or with an ISS between 16-49 (p≤0.03) were most likely to have c-spine injuries. While airbag deployment was similar between groups (p=0.7), the use of seatbelts or all three protective devices was associated with no injuries (p=0.01). On multivariate analysis, ISS (OR 1.07, 95% CI 1.04-1.10, p
Recommended Citation
Reed, Tanner; Gallegos, Eden; Shammassian, Berje; Marr, Alan; Stuke, Lance; Greiffenstein, Patrick; Schoen, Jonathan; Hunt, John P.; and Smith, Alison, "Severity of Chronic Venous Insufficiency on Primary Total Knee Arthroplasty Outcomes" (2022). Medical Research Day. 101.
https://digitalscholar.lsuhsc.edu/sommrd/2022MRD/Posters/101
Included in
Severity of Chronic Venous Insufficiency on Primary Total Knee Arthroplasty Outcomes
Current screening guidelines for intoxicated trauma patients favor the routine use of cervicalspine (c-spine) CT scans. The objective of this study was to identify parameters that predispose intoxicated trauma patients to c-spine injuries in order to refine diagnostic imaging utilization. A retrospective chart review of intoxicated adult trauma patients involved in motor vehicle collisions presenting to a Level I trauma center from March 2020-September 2021 was performed. Baseline demographics, protective devices, and Injury Severity Score (ISS) were assessed in patients with c-spine fractures or nerve root damage, diagnosed by clinical examination and imaging, compared to patients without injuries. Univariate and multivariate analyses were performed. Of 485 patients, 8% (N=40) had c-spine injuries. Patients between the ages of 45-64 years (p=0.007) or with an ISS between 16-49 (p≤0.03) were most likely to have c-spine injuries. While airbag deployment was similar between groups (p=0.7), the use of seatbelts or all three protective devices was associated with no injuries (p=0.01). On multivariate analysis, ISS (OR 1.07, 95% CI 1.04-1.10, p
Comments
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