National Emergency X-Radiography Utilization Study (NEXUS): Difference between revisions
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== Objective< | == Objective== | ||
The National Emergency X-Radiography Utilization Study (NEXUS) is developed in 1998 and is recommended in many international guidelines as a triage tool in emergency settings<ref>Vazirizadeh-Mahabadi M, Yarahmadi M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807951/ Canadian C-spine Rule versus NEXUS in Screening of Clinically Important Traumatic Cervical Spine Injuries; a systematic review and meta-analysis.] Archives of academic emergency medicine [Internet]. 2023;11(1):e5. | |||
== Intended Population< | [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807951/   ]</ref>. It aim to provide healthcare professionals with a standardized and evidence-based approach for assessing whether a cervical spine imaging is necessary for trauma patients<ref name=":0">Michaleff ZA, Maher CG, Verhagen AP, Rebbeck T, Lin CW . C. [https://www.cmaj.ca/content/184/16/E867.long Accuracy of the Canadian C-spine rule and NEXUS to screen for clinically important cervical spine injury in patients following blunt trauma: a systematic review]. Canadian Medical Association Journal [Internet]. 2012 Oct 9;184(16):E867–76.</ref>. The NEXUS is secifically designed to identify patients at low risk for cervical spine injury, hence to avoid unnecessary radiation exposure, mental stress and healthcare expenses<ref name=":0" />. | ||
{{#ev:youtube|wjUDJAGzGPQ}} | |||
==Intended Population== | |||
The NEXUS tool targets patients who have suffered from traumatic injuries that may affect the cervical spine, for example, those who are involved in accidents, falls, or other traumatic events who present with neck pain, tenderness, or neurological symptoms. However, it is not recommended to be used in paediatric or geriatric populations, due to insufficient evidence conclude the accuracy of using the tool on these populations<ref>Ekhator C, Nwankwo I, Nicol A. I[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547612/ mplementation of National Emergency X-Radiography Utilization Study (NEXUS) Criteria in Pediatrics: A Systematic Review. Cureus]. 2022 Oct 8; | |||
</ref>. | |||
== | ==Method of Use<ref name=":0" />== | ||
The low risk criteria in the National Emergency X-Radiography Utilization Study (NEXUS) includes: | |||
*Absence of tenderness at posterior midline of the cervical spine. | |||
*Absence of signs of intoxication. | |||
*Scoring of 15 in the Glasgow Coma Scale, indicating normal alertness level. | |||
*Absence of neurological abnormalities. | |||
*Absence of injury leading to significant pain or distraction. | |||
If a patient does not meet '''<u>all</u>''' of the above criteria, they are referred for imaging. | |||
== | ==Evidence== | ||
=== | ===Reliability=== | ||
=== | ===Validity=== | ||
== | ===Responsiveness=== | ||
== References | ===Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> === | ||
==Links== | |||
==References== | |||
<references /> | <references /> | ||
Revision as of 07:01, 31 August 2023
Original Editor - Trista Chan
Top Contributors - Trista Chan
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (31/08/2023)
Objective[edit | edit source]
The National Emergency X-Radiography Utilization Study (NEXUS) is developed in 1998 and is recommended in many international guidelines as a triage tool in emergency settings[1]. It aim to provide healthcare professionals with a standardized and evidence-based approach for assessing whether a cervical spine imaging is necessary for trauma patients[2]. The NEXUS is secifically designed to identify patients at low risk for cervical spine injury, hence to avoid unnecessary radiation exposure, mental stress and healthcare expenses[2].
Intended Population[edit | edit source]
The NEXUS tool targets patients who have suffered from traumatic injuries that may affect the cervical spine, for example, those who are involved in accidents, falls, or other traumatic events who present with neck pain, tenderness, or neurological symptoms. However, it is not recommended to be used in paediatric or geriatric populations, due to insufficient evidence conclude the accuracy of using the tool on these populations[3].
Method of Use[2][edit | edit source]
The low risk criteria in the National Emergency X-Radiography Utilization Study (NEXUS) includes:
- Absence of tenderness at posterior midline of the cervical spine.
- Absence of signs of intoxication.
- Scoring of 15 in the Glasgow Coma Scale, indicating normal alertness level.
- Absence of neurological abnormalities.
- Absence of injury leading to significant pain or distraction.
If a patient does not meet all of the above criteria, they are referred for imaging.
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- ↑ Vazirizadeh-Mahabadi M, Yarahmadi M. Canadian C-spine Rule versus NEXUS in Screening of Clinically Important Traumatic Cervical Spine Injuries; a systematic review and meta-analysis. Archives of academic emergency medicine [Internet]. 2023;11(1):e5.
- ↑ 2.0 2.1 2.2 Michaleff ZA, Maher CG, Verhagen AP, Rebbeck T, Lin CW . C. Accuracy of the Canadian C-spine rule and NEXUS to screen for clinically important cervical spine injury in patients following blunt trauma: a systematic review. Canadian Medical Association Journal [Internet]. 2012 Oct 9;184(16):E867–76.
- ↑ Ekhator C, Nwankwo I, Nicol A. Implementation of National Emergency X-Radiography Utilization Study (NEXUS) Criteria in Pediatrics: A Systematic Review. Cureus. 2022 Oct 8;
