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Bulletin of Emergency and Trauma، جلد ۱۱، شماره ۴، صفحات ۱۷۸-۱۸۳
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چکیده فارسی مقاله
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عنوان انگلیسی Investigating the Rate and Affecting Factors of Unnecessary Cervical Collar Use in Trauma Patients
چکیده انگلیسی مقاله Objective: This study aimed to investigate the necessity of cervical collars in patients with neck problems.
Methods: This cross-sectional study was conducted on 114 patients who were admitted to the Haft Tir and
Rasoul Akram Hospitals (Tehran, Iran) from August to September 2022. The Nexus protocol was used to select
the patients with cervical collars. According to the protocol, a cervical collar was required for individuals who
had at least one symptom. If none of these symptoms existed, the cervical collar was deemed unnecessary. The
data were analyzed using the Chi-square test and Fisher’s exact test.
Results: Of the 114 trauma patients, the cervical collar was used unnecessarily by 49 (43%) patients. Tenderness
was the most common complication in 62 patients (54.4%). The prevalence of unnecessary cervical collar
use was 37.5% in female trauma patients and 43.88% in male trauma patients, which was not statistically
significant (p=0.63). The prevalence of unnecessary cervical collar use in trauma patients with multiple trauma
was 39.42% and 80% in patients without multiple trauma, which was statistically significant (p=0.018). Patients
with a medical history had a higher rate of unnecessary use of the cervical collar (47.96%) than those without
a history (12.5%), and this difference was statistically significant (p=0.008).
Conclusion: The guidelines for using cervical collars need to be updated by the EMS. Due to the large number
of trauma patients in Iran, cervical collars for necessary conditions can help reduce healthcare expenses
and injuries caused by unnecessary cervical collars.
کلیدواژه‌های انگلیسی مقاله Cervical collar, Nexus, Emergency medical services
نویسندگان مقاله Seyed Mohammad Hosseini Kasnavieh |
department of emergency medicine, school of medicine,Iran university of medical sciences,Tehran,Iran.

Kehan Koukli |
international campus, Iran university of medical sciences, Tehran,Iran.

Mohamad Veisi |
Department of health management and economics, School of public health,Tehran university of medical sciences,Tehran, Iran

Mohammad Amerzadeh |
Department of health services management, Qazvin university of medical sciences, Qazvin, Iran.

Hossein Hosseinifar |
Evidence-Based Medicine Research Center, Tabriz University of Medical Sciences

Ali Tahmasebi |
Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran

نشانی اینترنتی https://beat.sums.ac.ir/article_49571_8f390fd6944bb24b83e992f97c7c20eb.pdf
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