Predicting Cervical Spine Injury (CSI) in Children: A Multi-Centered Case-Control Analysis
Study Type: Retrospective Chart Abstraction
Study Period: January 2000 - December 2004
Enrollment: 540 Cases, 2774 Controls
The purpose of this study was to identify a set of variables that separate injured children with negligible risk of CSI from those at non-negligible risk for CSI, and to describe CSI in children. We conducted a retrospective case-control study of children with CSI by abstracting information from medical records about clinical findings, mechanism-of-injury factors, previous medical history, interventions performed, imaging obtained, and outcomes. Three controls groups were identified: (1) children seen at the same hospital within a year of the matched case, (2) children additionally matched by age and mechanism of injury, and (3) children transported to the hospital by EMS additionally matched to EMS transported cases by age. Data collection was performed at 17 PECARN hospitals, which collectively screened 2,395 cases and 6,764 controls for eligibility. The study identified 540 cases, 1,060 unmatched (random) controls, 1,012 mechanism-of-injury and age matched (MOI) controls, and 702 age-matched EMS (EMS) controls for analyses.
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