Studio osservazionale in merito alla validità della Canadian C-Spine Rule in ambito extra ospedaliero

Submitted: 29 January 2021
Accepted: 29 January 2021
Published: 29 January 2021
Abstract Views: 646
PDF (Italiano): 279
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Introduzione: In ambito extra ospedaliero è pratica comune applicare un collare cervicale ad ogni soggetto vittima di trauma. Per molti di loro tale pratica può rappresentare un trattamento eccessivo e in alcuni casi un evento avverso, inoltre può portare a svolgere superflui esami diagnostici. In considerazione degli sviluppi scientifici è opportuno chiedersi se l’utilizzo ‘routinario’ del collare cervicale debba essere riconsiderato. Obiettivo: Analizzare l’appropriatezza della Canadian C-Spine Rule (CCR) come elemento predittivo per l’utilizzo o meno del collare cervicale. Metodi: E’ stata effettuata un'indagine retrospettiva sui pazienti ammessi al Pronto Soccorso degli ospedali di Ravenna, Cesena e San Marino dal 1 Aprile 2017 al 31 Agosto 2017. I pazienti giunti in Pronto Soccorso, vittime di trauma a cui era stato posizionato il collare cervicale, sono stati sopposti a una valutazione Canadian C-Spine Rule (CCR) al fine di verificarne la sua appropriatezza. Risultati: 156 soggetti sono rientrati nei criteri proposti dalla Canadian C-Spine Rule (CCR) e nessuno ha riportato lesioni significative; se fosse stata applicata in ambito extra ospedaliero, la scala di valutazione sarebbe risultata sicura come verificato dalla successiva indagine radiologica. Conclusioni: I risultati di questo studio confermano quanto riportato dalla letteratura esistente. La Canadian C-Spine Rule (CCR) si conferma essere un valido strumento in grado di differenziare i pazienti traumatizzati che necessitano del collare cervicale in ambito extra ospedaliero o di ulteriori indagini diagnostiche in ambito ospedaliero. L’utilizzo della CCR richiede personale addestrato, migliora il comfort e può ridurre l’esecuzione di indagini diagnostiche. Parole chiave: Canadian C- Spine Rule (CCR), colonna cervicale; radiografia, trauma; lesione colonna cervicale, dipartimento d’emergenza

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Bravi, N., Marchetti, L., & Musolesi, S. (2021). Studio osservazionale in merito alla validità della Canadian C-Spine Rule in ambito extra ospedaliero. Scenario® - Il Nursing Nella Sopravvivenza, 37(4), 43–49. https://doi.org/10.4081/scenario.2020.455