Accuracy of Non-Contrast CT Brain Interpretation by Emergency Physicians: A cohort study
نویسندگان
چکیده
OBJECTIVE To assess the accuracy of emergency physicians (EPs) in the interpretation of non-contrast CT Brain (NCCT Brain) by examining the inter rater reliability between EPs and radiology specialists. METHODOLOGY A four months prospective cohort study was conducted at emergency department of King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia. We studied the daily performance of our EPs, and compared it to the radiological report issued within the week after. Data were analyzed by calculating sensitivity, specificity, accuracy and agreement (kappa statistic), using radiology report as the reference standard. Results : Out of 241 cases eligible for the study, 210 (87.14%) were concordant, and 31 (12.86%) were discordant. The agreement (kappa) was to be 0.64. Conclusion : We concluded that our EPs are moderately accurate at interpreting NCCT Brain studies. Further education and training programs were necessary for all our EPs to improve the accuracy. Further studies are required to determine the most cost-effective method of minimizing consequential misinterpretations.
منابع مشابه
A Study on the Agreement Rate of CT-Scan Interpretation of the Cervical Spine Trauma Patients Between the Reports of Emergency Medicine Residents and Radiologist in "Shohadaye 7Tir Hospital"
Aim: The purpose of this study was to determine the rate of agreement between CT scan interpretations of cervical spine trauma patients between emergency medicines and radiology physicians. Materials and Methods: This cross-sectional analytical study was conducted in Shohadaye Haft-e Tir Hospital, Tehran, Iran. The 408 CT scans for patients with cervical spine trauma registered by the Emergency...
متن کاملEffect of the Picture Archiving and Communication System Implementation on the Diagnosis Accuracy of Emergency Physicians in CT Scan Examinations
Introduction: Picture Archiving and Communication System (PACS) allows the processing, archiving, and sharing medical images electronically with different parts of the hospital, especially the emergency department. The aim of this study was to evaluate the effect of PACS on the diagnosis accuracy of emergency department physicians before and after its implementation. Method: In this analytical...
متن کاملEffect of the Picture Archiving and Communication System Implementation on the Diagnosis Accuracy of Emergency Physicians in CT Scan Examinations
Introduction: Picture Archiving and Communication System (PACS) allows the processing, archiving, and sharing medical images electronically with different parts of the hospital, especially the emergency department. The aim of this study was to evaluate the effect of PACS on the diagnosis accuracy of emergency department physicians before and after its implementation. Method: In this analytical...
متن کاملInterpretation of Computed Tomography of the Head: Emergency Physicians versus Radiologists
BACKGROUND Many patients are brought to crowded emergency departments (ED) of hospitals every day for evaluation of head injuries, headaches, neurologic deficits etc. CT scan of the head is the most common diagnostic measure used to search for pathologies. In many EDs the initial interpretation of images are performed by emergency physicians (EP). Since most decisions are made based on the init...
متن کاملدقت ارزیابی هدفمند سونوگرافی بیماران ترومایی (FAST) در بخش اورژانس برای ترومای بلانت شکمی
Background and purpose: Trauma is the fourth leading cause of death in some developing countries and the second cause of death among young people in Iran. Focused assessment with sonography for trauma (FAST) as part of the preliminary examination is invaluable in emergency care. The aim of this study was to evaluate the accuracy of FAST in determining free abdominal fluid in traumatic patients ...
متن کامل