Age-related differences in factors associated with cervical spine injuries in children

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Julie C LeonardNathan Kuppermann

Abstract

The Pediatric Emergency Care Applied Research Network (PECARN) investigators previously identified risk factors associated with cervical spine injuries (CSIs) in children. Anatomic maturation and age-related variation in mechanisms of injury suggested the need to explore factors separately for younger versus older children. The purpose of this substudy was to investigate CSI risk factors in age subgroups within the PECARN study cohort. This was an age-stratified case-control analysis of children younger than 16 years presenting to 17 PECARN hospitals following blunt trauma between January 1, 2000 and December 31, 2004. Data were abstracted for children with CSIs and randomly selected CSI-free children. Age-stratified multivariable logistic regression was performed to identify factors associated with CSI within three age groups: younger than 2, 2 to 7, and 8 to 15 years. Sensitivity and specificity for CSI were estimated for both the age-specific and original (altered mental status, focal neurologic findings, neck pain, torticollis, substantial torso injury, predisposing conditions, diving, and high-risk motor vehicle crash [MVC]) models. Among 540 children with CSIs, 27 were younger than 2 years, 140 were 2 to 7 years, and 373 ...Continue Reading

References

Feb 1, 1987·American Journal of Diseases of Children·I RacheskyB Sibley
Mar 1, 1996·Annals of Emergency Medicine·E H GilbertJ Steiner
Aug 3, 2001·Pediatrics·P ViccellioUNKNOWN NEXUS Group
Jun 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Craig D Newgard, Jason S Haukoos
Nov 3, 2010·Annals of Emergency Medicine·Julie C LeonardUNKNOWN Pediatric Emergency Care Applied Research Network
Apr 30, 2014·Pediatrics·Jeffrey R LeonardUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group

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Citations

Aug 10, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Peter E FischerMark L Gestring
Jan 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Martin J HermanBurt Yaszay
Jul 4, 2021·Emergency Medicine Clinics of North America·Nichole McCollum, Sabrina Guse

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