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

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