Emergency medicine residents can assess cranial computed tomography scans consistently with radiologists

Ardıç, Şenol; Güneysel, Özlem

doi:10.1016/j.jacme.2015.09.003

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…So, the EP must receive support from a radiologist physician when evaluating abdominal CT (17). Another study showed that EPs evaluated cranial CTs to the same extent as radiologists (18). In our study, the patients with non-traumatic abdominal pain were the group for which CT reports were most frequently issued.…”

Section: Discussionmentioning

confidence: 70%

A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department

Turgut¹,

Bucak²,

Almış³

et al. 2019

Istanbul Med J

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Amaç: Teleradyolojinin, acil servislerde hastalara zamanında ve doğru tanı konmasında önemli bir işlevi vardır. Bu çalışmamızda acil hekiminin teleradyolojiyi daha çok hangi durumlarda kullandığını inceleyerek, acil servislerde teleradyoloji kullanımını etkileyen faktörleri tespit etmek istedik. Yöntemler: Bir ay boyunca acil servislerde çekilen bilgisayarlı tomografi (BT) görüntülerini retrospektif olarak inceledik. Acil hekiminin teleradyolojiden hemen raporlama istediği (grup 1) ve raporlama istemeyip kendisinin değerledirdiği hastaları (grup 2); demografik özellikleri, şikayetleri, sonlanımları ve tekrar başvuru açısından karşılaştırdık. Bulgular: Çalışmada toplam 1999 hasta olup, bunların 831'i grup 1 1168'i ise grup 2'ye aittir. Grup 2'deki (42,87±25,12 yıl) hastalar grup 1'dekilerden (38,78±25,03 yıl) daha yaşlıdır (p<0,01). Adli olgularda raporlanma oranı (%85,8) adli olmayanlara göre anlamlı düzeyde daha yüksektir (p<0,05). Acil hekimleri en fazla raporlamayı karın ağrısı şikayetiyle hastaneye başvurup abdomen BT çekilen hastalara istemiştir (p<0,05). Acil hekimi hastaneye yatırılan ve ölen olgulara taburcu olanlara göre daha fazla raporlama talep etmiştir (p<0,05). Teleradyoloji konsültasyonu yapılmadan taburcu edilen olguların acile tekrar başvuru oranı, teleradyolojiye konsülte edilip taburcu edilenlerinkinden anlamlı düzeyde daha yüksektir (p=0,01). Sonuç: Bu araştırmada, adli olgularda, karın ağrılı hastalarda, hastaneye yatırılarak tedavi edilmesi gereken hastalarda ve mesai dışındaki saatlerde acile başvuran hastalarda teleradyolojinin daha fazla kullanıldığını tespit ettik. Anahtar Kelimeler: Acil, teleradyoloji, bilgisayarlı tomografi, karın ağrısı Introduction: Teleradiology plays an essential role in the accurate and prompt diagnosis of patients in the emergency department (ED). This study aimed to analyze some factors affecting the use of teleradiology in EDs. Methods: We retrospectively examined computerized tomography (CT) images taken in our ED over one month. We compared patients for whom emergency physicians (EP) requested an immediate report via teleradiology (group 1), and patients for whom they requested no report and assessed themselves (group 2), in terms of demographic characteristics, complaints, outcomes, and re-admission. Results: The study population consisted of 1999 patients, 831 in group 1, and 1168 in group 2. The patients in group 2 were older (42.87±25.12 years) than those in group 1 (38.78±25.03 years) (p<0.01). The proportion of reports issued in forensic cases (85.8%) was significantly higher than that in non-forensic cases (p<0.05). EPs most commonly requested reports for patients presenting to the hospital due to abdominal pain (p<0.05). EP requested significantly more reports for patients admitted to the hospital and for subjects who died (p<0.05). The re-admission rate among patients who were discharged without teleradiology consultation was higher than the re-admission rate of those who were discharged after the teleradiology consultation (p=0.01). Conclusion: Our...

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Section: Discussionmentioning

confidence: 70%

A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department

Turgut¹,

Bucak²,

Almış³

et al. 2019

Istanbul Med J

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“…Arendts14 and Dolatabadi17 assessed overall accuracy as well as comparing emergency physicians to trainees as a secondary outcome and found no difference in accuracy between the groups. Notably, Ardic13 conducted the one study that included emergency trainees only and found the accuracy to be 0.95 (95% CI 0.93 to 0.97), which is the highest level of concordance among studies selected for this systematic review.…”

Section: Discussionmentioning

confidence: 79%

Emergency department interpretation of CT of the brain: a systematic review

Evans

Fitzgerald

Mitra

et al. 2016

Postgraduate Medical Journal

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“…In some studies, it has been reported that EMSs have insufficient accuracy in brain CT evaluation (15,16). However, different studies have shown that the accuracy of EMSs in CT interpretation is similar to that of radiologists (17)(18)(19). Although every EMS working in the emergency department is experienced, it is not possible to measure their level of personal knowledge regarding IT assessments.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Interpretations of Brain Computed Tomography of Emergency Medicine Specialists and Neurosurgeons

et al. 2023

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Objective: We aimed to examine the similarity in the brain computed tomography (CT) reports of emergency medicine and neurosurgery specialists. Method: Brain CT scans of the last 1 year admitted to the emergency department were analyzed. The reports of emergency medicine and neurosurgeon specialists were reviewed. The radiologist's report was set as the gold standard. All CT examinations were performed independently of the radiologist by physicians with at least 5 years of experience. Results: Emergency medicine and neurosurgery specialists were found to be highly compatible in detecting pathologies in CT reports. There was significant similarity in the diagnosis of bone defects and maxillo-facial trauma in the CT reporting of emergency medicine specialists and neurosurgeons. Conclusion: It was observed that emergency medicine specialists were more successful in traumatic brain CT interpretation. Since their knowledge and experience in non-traumatic pathologies are insufficient, they should receive support from radiology in residency training.

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Emergency medicine residents can assess cranial computed tomography scans consistently with radiologists

Cited by 5 publications

References 5 publications

A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department

A Retrospective Analysis of Patients Receiving Teleradiology Consultations for Computed Tomography in the Emergency Department

Emergency department interpretation of CT of the brain: a systematic review

Comparison of the Interpretations of Brain Computed Tomography of Emergency Medicine Specialists and Neurosurgeons

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