NEXUS Chest CT Rule: Difference between revisions
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{{Nexus chest CT in trauma minor rule}} | {{Nexus chest CT in trauma minor rule}} | ||
==Sensitivity== | ==Sensitivity== | ||
===CT-Major Injury Rule=== | ===CT-Major Injury Rule=== | ||
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*99% sensitive for major injuries | *99% sensitive for major injuries | ||
*95% sensitive for minor injuries. | *95% sensitive for minor injuries. | ||
==See Also== | ==See Also== | ||
*[[NEXUS cervical spine rule]] | *[[NEXUS cervical spine rule]] | ||
Revision as of 12:38, 11 May 2016
Background
- 8 United States level 1 trauma centers enrolled patients for derivation and validation of a decision instrument to aid in the decision to perform a chest CT in patients with blunt trauma.[1]
- The rule has two sub-rules, one for detection of major injuries, and one for detection of all injuries (major and minor injuries) in hemodynamically stable, non-intubated patients
Nexus chest CT in trauma rule (major injury)
CT if any one of the following:
- Abnormal CXR
- Distracting injury
- Tenderness of:
- Chest wall
- Sternum
- Thoracic spine
- Scapula
Sensitivity
- 99% for major injuries
- 90% for minor injuries
Nexus chest CT in trauma rule (minor injury)
CT if any one of the following:
- Abnormal CXR
- Distracting injury
- Tenderness of:
- Chest wall
- Sternum
- Thoracic spine
- Scapula
- Rapid deceleration mechanism
Sensitivity
- 99% for major injuries
- 95% for minor injuries
Sensitivity
CT-Major Injury Rule
- 99 sensitive for major injuries
- 90% sensitive for minor injuries
CT-All Injury Rule
- 99% sensitive for major injuries
- 95% sensitive for minor injuries.