Are emergency physicians competent to interpret the cranial CT of patients younger than the age of 2 years with mild head trauma?

Idil, Hasan; Kırımlı, Güven; Korol, Güler; Ünlüer, Erden Erol

doi:10.1016/j.ajem.2015.05.024

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…In such cases, emergency physicians have to interpret the images and manage the patients accordingly before the radiologists’ report becomes available. While several studies have compared the predictive accuracy of the interpretation by emergency physicians with that by the radiologists [ 17 , 18 ], there was no study about the predictive accuracy of the interpretation of early brain CT by emergency physicians in PCAS patients who underwent TTM. Our study is the first study to examine the predictive accuracy of the interpretation by emergency physicians.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the first interpretation of early brain CT images for predicting the prognosis of post-cardiac arrest syndrome patients at the emergency department

et al. 2018

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BackgroundEarly brain CT is one of the most useful tools for estimating the prognosis in patients with post-cardiac arrest syndrome (PCAS) at the emergency department (ED). The aim of this study was to evaluate the prognosis-prediction accuracy of the emergency physicians’ interpretation of the findings on early brain CT in PCAS patients treated by targeted temperature management (TTM).MethodsThis was a double-center, retrospective, observational study. Eligible subjects were cardiac arrest patients admitted to the intensive care unit (ICU) for TTM between April 2011 and March 2017. We performed the McNemar test to compare the predictive accuracies of the interpretation by emergency physicians and radiologists and calculated the kappa statistic for determining the concordance rate between the interpretations by these two groups.ResultsOf the 122 eligible patients, 106 met the inclusion criteria for this study. The predictive accuracies (sensitivity, specificity) of the interpretations by the emergency physicians and radiologists were (0.34, 1.00) and (0.41, 0.93), respectively, with no significant difference in either the sensitivity or specificity as assessed by the McNemar test. The kappa statistic calculated to determine the concordance between the two interpretations was 0.66 (0.48–0.83), which showed a good conformity.ConclusionsThe emergency physicians’ interpretation of the early brain CT findings in PCAS patients treated by TTM was as reliable as that of radiologists, in terms of prediction of the prognosis.

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Section: Discussionmentioning

confidence: 99%