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Clearance of the Cervical Spine in Clinically Unevaluable Trauma Patients

机译：临床上无法评估的创伤患者的颈椎间隙

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Study Design. Meta-analytic costeffectiveness analysis.Objective. Our goal was to compare the results of different management strategies for trauma patients in whom the cervical spine was not clinically evaluable due to impaired consciousness, endotracheal intubation, or painful distracting injuries.Summary of Background Data. We performed a structured literature review related to cervical spine trauma, radiographic clearance techniques (plain radiography, flexion/extension, CT, and MRI), and complications associated with semirigid collar use.Methods. Meta-analytic techniques were used to pool data from multiple sources to calculate pooled mean estimates of sensitivities and specificities of imaging techniques for cervical spinal clearance, rates of complications from various clearance strategies and from empirical use of semirigid collars. A decision analysis model was used to compare outcomes and costs among these strategies.
机译：学习规划。荟萃分析成本效益分析。我们的目标是比较因意识障碍，气管插管或痛苦的分散注意力而无法对颈椎进行临床评估的创伤患者的不同治疗策略的结果。背景资料摘要。我们进行了有关颈椎创伤，放射线清除技术（普通放射线照相，屈曲/伸展，CT和MRI）以及与半刚性项圈使用相关的并发症的结构化文献综述。使用荟萃分析技术汇总来自多个来源的数据，以计算汇总的平均估计值，以评估颈椎脊髓清除术的成像技术的敏感性和特异性，各种清除策略的并发症发生率以及经验性使用半刚性项圈。决策分析模型用于比较这些策略之间的结果和成本。

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