Wisconsin_criteria v.0.1.0
A criteria used to predict need for CT use after maxillofacial injury.
To evaluate if a patient fits into the Wisconsin criteria.
The Wisconsin criteria predicts need for CT use after maxillofacial injury. It is used when assessing patients with facial injuries from trauma in the emergency department. By using this, we can minimize exposure to radiation and costs by avoiding unnecessary maxillofacial CT imaging in cases with a low likelihood of significant injury. The Wisconsin Criteria is positive if any of the following findings are present: Bony stepoff or instability. Periorbital swelling or contusion. Glasgow Coma Scale score <14. Malocclusion. Tooth absence.
Not to be used for diagnosis of facial fractures; rather, it assists in determining the necessity of additional imaging.
Sitzman TJ, Hanson SE, Alsheik NH, Gentry LR, Doyle JF, Gutowski KA. Clinical criteria for obtaining maxillofacial computed tomographic scans in trauma patients. Plast Reconstr Surg. 2011 Mar;127(3):1270-8. Konik RD, Huang GS. Assessment of the “Wisconsin criteria” for obtaining maxillofacial computed tomography in trauma patients at a community trauma center. Plast Reconstr Surg Glob Open. 2020 Sep;8(9S):110-1. Stewart CN, Wood L, Barta RJ. Validation of the “Wisconsin criteria” for obtaining dedicated facial imaging and its financial impact at a level 1 trauma center. Craniomaxillofac Trauma Reconstr. 2020 Mar;13(1):4-8.
openEHR-EHR-OBSERVATION.wisconsin_criteria, openEHR-EHR-EVALUATION.wisconsin_criteria_assessment
