cliot (version 1.0.0)

wisconsin_maxillofacial_criteria: Wisconsin Criteria for Maxillofacial CT Imaging

Description

Calculates the Wisconsin Criteria to determine the need for maxillofacial CT imaging in patients with facial trauma. The presence of any one of the five criteria suggests a higher risk of facial fracture and indicates the need for imaging.

Usage

wisconsin_maxillofacial_criteria(bony_stepoff_instability, periorbital_swelling,
                                 gcs_score, malocclusion, tooth_absence)

Value

A list containing:

Result

Recommendation regarding the need for CT imaging.

Criteria_Met

Boolean indicating if any risk factor is present.

Arguments

bony_stepoff_instability

Numeric (0 or 1). Presence of bony step-off or instability of the facial bones. (1 = Yes).

periorbital_swelling

Numeric (0 or 1). Presence of periorbital swelling or contusion. (1 = Yes).

gcs_score

Numeric. Glasgow Coma Scale score (3-15). A score < 14 is considered a positive criterion.

malocclusion

Numeric (0 or 1). Presence of malocclusion (misalignment of teeth). (1 = Yes).

tooth_absence

Numeric (0 or 1). Absence of a tooth (avulsion) secondary to trauma. (1 = Yes).

References

Sitzman TJ, Hanson SE, Al-Sheikhi N, et al. Clinical criteria for obtaining maxillofacial computed tomography in trauma patients. Plast Reconstr Surg. 2011;127(3):1270-1278. doi:10.1097/PRS.0b013e318205f2e0

Examples

# Example 1: Imaging Indicated
# Patient has periorbital swelling (1) and GCS 15
wisconsin_maxillofacial_criteria(0, 1, 15, 0, 0)

# Example 2: Imaging Not Indicated
# No findings, GCS 15
wisconsin_maxillofacial_criteria(0, 0, 15, 0, 0)