Journal article
J. McCallum, D. Eagles, Yongdong Ouyang, Jamie Vander Ende, C. Vaillancourt, C. Fehlmann, R. Shorr, M. Taljaard, I. Stiell
American Journal of Emergency Medicine, 2023
American Journal of Emergency Medicine, 2023
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APA
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McCallum, J., Eagles, D., Ouyang, Y., Ende, J. V., Vaillancourt, C., Fehlmann, C., … Stiell, I. (2023). Cervical spine injuries in adults ≥ 65 years after low-level falls - A systematic review and meta-analysis. American Journal of Emergency Medicine.
Chicago/Turabian
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McCallum, J., D. Eagles, Yongdong Ouyang, Jamie Vander Ende, C. Vaillancourt, C. Fehlmann, R. Shorr, M. Taljaard, and I. Stiell. “Cervical Spine Injuries in Adults ≥ 65 Years after Low-Level Falls - A Systematic Review and Meta-Analysis.” American Journal of Emergency Medicine (2023).
MLA
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McCallum, J., et al. “Cervical Spine Injuries in Adults ≥ 65 Years after Low-Level Falls - A Systematic Review and Meta-Analysis.” American Journal of Emergency Medicine, 2023.
BibTeX Click to copy
@article{j2023a,
title = {Cervical spine injuries in adults ≥ 65 years after low-level falls - A systematic review and meta-analysis.},
year = {2023},
journal = {American Journal of Emergency Medicine},
author = {McCallum, J. and Eagles, D. and Ouyang, Yongdong and Ende, Jamie Vander and Vaillancourt, C. and Fehlmann, C. and Shorr, R. and Taljaard, M. and Stiell, I.}
}
Abstract
BACKGROUND Adults ≥ 65 are at risk of cervical spine (C-spine) injury, even after low-level falls. The objectives of this systematic review were to determine the prevalence of C-spine injury in this population and explore the association of unreliable clinical exam with C-spine injury.
METHODS We conducted this systematic review according to PRISMA guidelines. We searched MEDLINE, PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Database of Systematic reviews to include studies reporting on C-spine injury in adults ≥ 65 years after low-level falls. Two reviewers independently screened articles, abstracted data, and assessed bias. Discrepancies were resolved by a third reviewer. A meta-analysis was performed to estimate overall prevalence and the pooled odds ratio for the association between C-spine injury and an unreliable clinical exam.
RESULTS The search identified 2044citations, 138 full texts were screened, and 21 studies were included in the systematic review. C-spine injury prevalence in adults ≥ 65 years after low-level falls was 3.8% (95% CI: 2.8-5.3). The odds of c-spine injury in those with altered level of consciousness (aLOC) v/s not aLOC was 1.21 (0.90-1.63) and in those with GCS < 15 v/s GCS 15 was 1.62 (0.37-6.98). Studies were at a low-risk of bias, although some had low recruitment and significant loss to follow-up.
CONCLUSIONS Adults ≥ 65 years are at risk of cervical spine injury after low-level falls. More research is needed to determine whether there is an association between cervical spine injury and GCS < 15 or altered level of consciousness.