_id

683a165dc782e11e38d1b394

id

10561

title

Wisconsin Criteria

full_title

Wisconsin Criteria

short_title

Wisconsin Criteria

med_description

Predicts need for CT use after maxillofacial injury.

short_description

Maxillofacial injury CT evaluation.

slug

wisconsin-criteria

description

The Wisconsin Criteria predicts need for CT use after maxillofacial injury.

keywords

Wisconsin Criteria, maxillofacial injury, maxillofacial fracture, Maxillofacial Computed Tomographic Scans, Maxillofacial Computed Tomography, facial fracture, bony stepoff, bony instability, periorbital swelling, facial injury, facial trauma, maxillofacial trauma

complaint

[ "Altered Mental Status", "Head Injury", "Injury/Trauma", "Preventive Care/Screening", "Bone Pain" ]

formula

The Wisconsin Criteria is positive if any of the following findings are present: Bony stepoff or instability. Periorbital swelling or contusion. Glasgow Coma Scalescore <14. Malocclusion. Tooth absence.

evidence

measurements

[]

information

refrences

{ "Clinical Practice Guidelines": [], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/21364427/", "text": "Sitzman TJ, Hanson SE, Alsheik NH, Gentry LR, Doyle JF, Gutowski KA. Clinical criteria for obtaining maxillofacial computed tomographic scans in trauma patients: Plastic and Reconstructive Surgery. 2011;127(3):1270-1278." } ], "Other References": [], "Outcomes": [], "Validation": [ { "href": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7553631/#:~:text=The%20%E2%80%9CWisconsin%20criteria%E2%80%9D%20consists%20of,negative%20predictive%20value%20of%2087.8%25.", "text": "Konik RD, Huang GS. Assessment of the “wisconsin criteria” for obtaining maxillofacial computed tomography in trauma patients at a community trauma center. Plastic and Reconstructive Surgery - Global Open. 2020;8(9S):110-111." }, { "href": "https://pubmed.ncbi.nlm.nih.gov/32642025/", "text": "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. Craniomaxillofacial Trauma & Reconstruction. 2020;13(1):4-8." } ], "Validations": [] }

pearls

• This tool does not diagnose facial fractures; rather, it assists in determining the necessity of additional imaging.
• Since these criteria are based on physical examination findings, results depend on the accuracy of a clinician’s physical examination skills.
• The original study population consisted primarily of blunt trauma patients at a single trauma center, which may limit the utility in penetrating trauma cases and affect generalizability.
• In the original study, the presence of any of the 5 criteria was 98.2% sensitive for the presence of a facial fracture, with a negative predictive value of 87.8% in the absence of all 5 criteria.
• Validation studies show a sensitivity range of 73%-90% and a negative predictive value of 60%-93%.

usecase

Use when assessing patients with facial injuries from trauma in the emergency department.

reasons

Assesses a trauma patient’s risk of having a facial fracture. Aims to minimize exposure to radiation and costs by avoiding unnecessary maxillofacial CT imaging in cases with a low likelihood of significant injury.

next_advice

next_actions

next_management

• The presence of a positive criterion should prompt imaging with maxillofacial CT.
• Best used as an adjunct to, not a replacement for, a thorough clinical assessment of the patient’s overall condition and other potential injuries. Clinical judgment should always guide management decisions.

diseases

[ "Fracture", "Trauma" ]

input_schema

[ { "conditionality": null, "default": 0, "label_en": "<p>Bony stepoff or instability</p>", "md_calc_info_concept": null, "name": "q1", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>Periorbital swelling or contusion</p>", "md_calc_info_concept": null, "name": "q2", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p><calculator id=\"64\">Glasgow Coma Scale</calculator> score &lt;14</p>", "md_calc_info_concept": null, "name": "q3", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>Malocclusion</p>", "md_calc_info_concept": null, "name": "q4", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "<p>Tooth absence</p>", "md_calc_info_concept": null, "name": "q5", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 1 } ], "show_points": false, "tips_en": "", "type": "toggle" } ]

instructions

published

2024-08-16T17:01:58.450Z

purpose

[ "Prognosis" ]

search_terms

[ "Wisconsin Criteria", "maxillofacial injury", "maxillofacial fracture", "Maxillofacial Computed Tomographic Scans", "Maxillofacial Computed Tomography", "facial fracture", "bony stepoff", "bony instability", "periorbital swelling", "facial injury", "facial trauma", "maxillofacial trauma" ]

seo

{ "keywords_en": "Wisconsin Criteria, maxillofacial injury, maxillofacial fracture, Maxillofacial\nComputed Tomographic Scans, Maxillofacial Computed Tomography, facial fracture, bony stepoff, bony instability, periorbital swelling, facial injury, facial trauma, maxillofacial trauma\n", "meta_description_en": "The Wisconsin Criteria predicts need for CT use after maxillofacial injury. " }

specialty

[ "Emergency Medicine", "Family Practice", "Hospitalist Medicine", "Oral and Maxillofacial Surgery", "Orthopedics", "Primary Care", "Radiology" ]

departments

[ "HEENT", "Musculoskeletal" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10589, "short_title_en": "Infant Scalp Score", "slug": "infant-scalp-score" }, { "calcId": 10126, "short_title_en": "TLICS", "slug": "thoracolumbar-injury-classification-severity-scale-tlics" }, { "calcId": 10552, "short_title_en": "PECARN C-Spine Imaging Rule", "slug": "pecarn-cervical-spine-injury-prediction-rule" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "otolaryngology", "orthopedics" ]

cleaned_use

[ "Use when assessing patients with facial injuries from trauma in the emergency department." ]

pub

false