R Guven1, Ali Haydar Akca2, C Caltili3, M I Sasmaz2, E K Kaykisiz1, S Baran4, L Sahin5, A Ari6, G Eyupoglu1, V Kirpat7. 1. Department of Emergency Medicine, Bitlis State Hospital, Bitlis, Turkey. 2. Department of Emergency Medicine, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey. 3. Department of Emergency Medicine, University of Health Sciences Bagcilar Training and Research Hospital, Istanbul, Turkey. 4. Department of Emergency Medicine, Necip Fazil City Hospital, Kahramanmaras, Turkey. 5. Department of Emergency Medicine, Bingöl State Hospital, Bingöl, Turkey. 6. Department of Emergency Medicine, University of Health Sciences, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey. 7. Department of Emergency Medicine, University of Health Sciences, Van Training and Research Hospital, Van, Turkey.
Abstract
INTRODUCTION: Computed tomography (CT) interpretation in the emergency department is one of the vital issues that should be carried out rapidly and accurately. The objective of this study was to examine the interpretation accuracy of emergency physicians (EPs) regarding CT scans at the emergency department for traumatic and nontraumatic purposes. MATERIALS AND METHODS: The study that was carried out as a prospective, observational study was completed at four centers during 1 year. RESULTS: Accuracy ratios of CT interpretations of EP regarding cranial injuries, thoracic injuries and vertebral spine injuries are above 95% in addition to the fact that the concordance's with the final result are perfect, the concordance with the final results of the CT interpretations of EP for abdominal injuries was moderate (<0.75). Accuracy ratios of the CT interpretations of EP for nontrauma patients were above 90% for brain hemorrhage and chest injuries and that the concordance with the final results was perfect (≥0.75). The CT interpretation accuracy rates of EP for spontaneous pneumothorax and aortic aneurysm/aortic dissection cases were 100%. CT interpretation rate of EP for pulmonary embolism was 89.4%, whereas the level of concordance with the final results was moderate (<0.75). Whereas the CT interpretation accuracy rates of EP for nontraumatic abdominal injuries varied between 83.3% and 93.1%, their levels of concordance with the final results were moderate (<0.75). CONCLUSIONS: The CT interpretations for abdominal traumatic patients in addition to pulmonary embolism and acute nontraumatic abdominal injuries should be carried out more carefully.
INTRODUCTION: Computed tomography (CT) interpretation in the emergency department is one of the vital issues that should be carried out rapidly and accurately. The objective of this study was to examine the interpretation accuracy of emergency physicians (EPs) regarding CT scans at the emergency department for traumatic and nontraumatic purposes. MATERIALS AND METHODS: The study that was carried out as a prospective, observational study was completed at four centers during 1 year. RESULTS: Accuracy ratios of CT interpretations of EP regarding cranial injuries, thoracic injuries and vertebral spine injuries are above 95% in addition to the fact that the concordance's with the final result are perfect, the concordance with the final results of the CT interpretations of EP for abdominal injuries was moderate (<0.75). Accuracy ratios of the CT interpretations of EP for nontrauma patients were above 90% for brain hemorrhage and chest injuries and that the concordance with the final results was perfect (≥0.75). The CT interpretation accuracy rates of EP for spontaneous pneumothorax and aortic aneurysm/aortic dissection cases were 100%. CT interpretation rate of EP for pulmonary embolism was 89.4%, whereas the level of concordance with the final results was moderate (<0.75). Whereas the CT interpretation accuracy rates of EP for nontraumatic abdominal injuries varied between 83.3% and 93.1%, their levels of concordance with the final results were moderate (<0.75). CONCLUSIONS: The CT interpretations for abdominal traumatic patients in addition to pulmonary embolism and acute nontraumatic abdominal injuries should be carried out more carefully.
Authors: Brigitta Britt Y M van der Kolk; Gabriella Gaby J van den Wittenboer; Niek Warringa; Ingrid M Nijholt; Boudewijn A A M van Hasselt; Lonneke N Buijteweg; Niels W L Schep; Mario Maas; Martijn F Boomsma Journal: J Am Coll Emerg Physicians Open Date: 2022-01-20
Authors: Johannes Rueckel; Jonathan I Sperl; Sophia Kaestle; Boj F Hoppe; Nicola Fink; Jan Rudolph; Vincent Schwarze; Thomas Geyer; Frederik F Strobl; Jens Ricke; Michael Ingrisch; Bastian O Sabel Journal: Quant Imaging Med Surg Date: 2021-06