A Karagöz1, E E Ünlüer2, O Oyar3, F E Topal2, F Topal4. 1. Department of Emergency Medicine, İzmir Çiğli Training Hospital, 35620, Çiğli/İzmir, Turkey. dr.akaragoz@hotmail.com. 2. Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Research and Training Hospital, 35360, Karabağlar/İzmir, Turkey. 3. Department of Radiology, Ataturk Research and Training Hospital, İzmir Katip Çelebi University, 35360, Karabağlar/İzmir, Turkey. 4. Department of Gastroenterology, Ataturk Research and Training Hospital, İzmir Katip Çelebi University, 35360, Karabağlar/İzmir, Turkey.
Abstract
PURPOSE: The aim of this study is to determine the ability of emergency physicians' (EP) interpreting contrast-enhanced computed tomographies (CECTs) performed in patients diagnosed or suspected acute pancreatitis (AP), using the modified computed tomography severity index (MCTSI) scoring system. METHODS: This study was conducted in Training and Research Hospital's Emergency Department. From January 1, 2013 to April 30, 2016, patients whom performed CECT within 24 h of admission with diagnosis or suspicion of AP were reviewed retrospectively. One hundred eighteen patients were included in the study. Three-third-year EPs received education about CECT interpretation and MCTSI criteria. Each EP interpreted CECTs in a blinded manner. The EPs' performance of determining the CECTs with or without AP and scoring the CECTs with CTSI scoring system was investigated. RESULTS: The agreement (weighted kappa) between the EPs and the radiologists for determining CECTs positive for AP was 0.932 (p < 0.001), 0.864 (p < 0.001) and 0.949 (p < 0.001) for EP1, EP2 and EP3, respectively. The agreement for MCTSI scores was 0.649 (p < 0.001), 0.588 (p < 0.001) and 0.734 (p < 0.001). These values showed a significant relationship between the EPs and radiologists. CONCLUSIONS: EPs can diagnose the AP on CECTs and score CECTs with MCTSI scoring system correctly.
PURPOSE: The aim of this study is to determine the ability of emergency physicians' (EP) interpreting contrast-enhanced computed tomographies (CECTs) performed in patients diagnosed or suspected acute pancreatitis (AP), using the modified computed tomography severity index (MCTSI) scoring system. METHODS: This study was conducted in Training and Research Hospital's Emergency Department. From January 1, 2013 to April 30, 2016, patients whom performed CECT within 24 h of admission with diagnosis or suspicion of AP were reviewed retrospectively. One hundred eighteen patients were included in the study. Three-third-year EPs received education about CECT interpretation and MCTSI criteria. Each EP interpreted CECTs in a blinded manner. The EPs' performance of determining the CECTs with or without AP and scoring the CECTs with CTSI scoring system was investigated. RESULTS: The agreement (weighted kappa) between the EPs and the radiologists for determining CECTs positive for AP was 0.932 (p < 0.001), 0.864 (p < 0.001) and 0.949 (p < 0.001) for EP1, EP2 and EP3, respectively. The agreement for MCTSI scores was 0.649 (p < 0.001), 0.588 (p < 0.001) and 0.734 (p < 0.001). These values showed a significant relationship between the EPs and radiologists. CONCLUSIONS: EPs can diagnose the AP on CECTs and score CECTs with MCTSI scoring system correctly.
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