Epidemiology of Head and Neck Injuries in Tehran

Saadat, Soheil; Nouralishah, Banafshe; Khaji, Ali

doi:10.18869/acadpub.shefa.1.4.17

Cited by 1 publication

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“…The present study's results showed that about 60% of the subjects were male. The ndings were consistent with other studies in which about 65 to 76 percent of the subjects were men (14)(15)(16)(17)(18)(19). In the study conducted by Khanpara et al (20), the number of men was twice that of women.…”

Section: Discussionsupporting

confidence: 92%

“…The most common mechanisms of injury leading to cervical spine trauma were tra c accidents and vehicle (car) accidents. The mechanisms are similar to previous studies in Iran (16,17,19,23,24) and other country (14,20,(25)(26)(27). In the Japanese study, the mechanisms of injury were ground-level fall (40.9%), falling from stairs (18.7%), and motor vehicles (10%), respectively (4).…”

Section: Discussionsupporting

confidence: 86%

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Cervical X-ray versus CT scan: Radiologic Findings in Traumatic Cervical Spine Injury in Emergency Department

Seyedrezaei

Mahdavi

Noyani

et al. 2022

Preprint

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Objective: Head and neck trauma are among the most common reasons for referring to hospitals’ emergency departments. This study aimed to compare cervical X-ray and CT scans’ accuracy in diagnosing cervical spine injuries in trauma patients in Shahroud city.Materials and Methods: The present study is a cross-sectional study on patients with traumatic cervical injuries referred to the emergency department of Imam Hossein Hospital in Shahroud city from 2018 to 2019. Both cervical X-rays and CT scans were used for all patients. Firstly, the radiography, then CT scans were performed. An emergency medicine specialist and a radiologist examined crvical X-rays and CT scans separately for diagnosing cervical spine injuries. In this paper, CT scan findings were considered as the gold standard. Sensitivity, specificity, positive and negative predictive value, positive and negative likelihood were used to determine the diagnostic value of plain radiography compared to CT scan. The Kappa agreement coefficient was also calculated.Results: Out of 115 participants, 7.8% (9 patients) had cervical spine injuries period 59.1% were male, and 40.9% were female. The mean age of patients was 39.8 ± 15.3 years. Car accidents, rollover, and motorcycle accidents with 39.1, 24.3, and 20.9%, respectively, were the most common mechanisms of causing injuries in these patients. Sensitivity, specificity, positive and negative predictive value, positive and negative likelihood ratios for cervical X-ray were 55.56, 97.17, 62.5, 26.26, 96, 19.63, and 0.46%, respectively.Conclusion: According to the present study results, the accuracy of cervical X-ray compared to CT scan in diagnosing injuries occurred to the cervical spine due to trauma is low because the sensitivity of cervical X-rays in detecting injuries is very low. Therefore, it seems that the cervical X-ray cannot be considered as a suitable tool to rule out cervical spine injuries caused by trauma.

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