Purpose: In order to identify historical findings indicative of a closed cervical spine fracture.
Stage of CPR Development: Derivation.
Rule:
1. Age < 55 years old
2. Single (Marital status)
3. Condition involved trauma
4. Acute condition
5. Condition involved ER visit
Interpretation:
| Variables | Sensitivity | Specificity | +LR | -LR | + Post-test Prob | – Post-test Prob |
| 1 | 0.94 | 0.37 | 1.50 | 0.17 | 7.7 | 0.9 |
| 2 | 0.94 | 0.68 | 2.00 | 0.09 | 14.4 | 0.5 |
| 3 | 0.88 | 0.88 | 7.10 | 0.14 | 28.4 | 0.8 |
| 4 | 0.38 | 0.98 | 22.50 | 0.60 | 55.6 | 3.2 |
Research
1. Cook CE, Sizer PS, Isaacs RE, Wright A. Clinical Identifiers for Detecting Underlying Closed Cervical Fractures. Pain Practice. 2014; 14(2): 109–116
Continued Learning…
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John Snyder, DPT 
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