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Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases
OBJECTIVE: The aim of this study is to evaluate the accuracy levels of the emergency physicians (EPs) managing the patient in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal computed tomography (CT) scans. METHODS: The EPs interpreted the CT scans of patient...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069923/ https://www.ncbi.nlm.nih.gov/pubmed/35529030 http://dx.doi.org/10.4103/2452-2473.342804 |
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author | Karakoyun, Omer Faruk Kozaci, Nalan Avci, Mustafa Uzunay, Huseyin |
author_facet | Karakoyun, Omer Faruk Kozaci, Nalan Avci, Mustafa Uzunay, Huseyin |
author_sort | Karakoyun, Omer Faruk |
collection | PubMed |
description | OBJECTIVE: The aim of this study is to evaluate the accuracy levels of the emergency physicians (EPs) managing the patient in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal computed tomography (CT) scans. METHODS: The EPs interpreted the CT scans of patients who visited the emergency department because of nontraumatic causes. Then, a radiology instructor made final assessments of these CT scans. Based on the interpretation of the radiology instructor, the false-positive rate, false-negative rate, sensitivity, specificity, positive predictive value, negative predictive value, and kappa coefficient (κ) of the EPs’ interpretations of the CT scans were calculated. RESULTS: A total of 268 thoracics and 185 abdominal CT scans were assessed in our study. The overall sensitivity and specificity of the EPs’ interpretation of the thoracic CT scans were 90% and 89%, respectively, whereas the abdominal CT interpretation was 88% and 86%, respectively. There was excellent concordance between the EPs and the radiology instructor with regard to the diagnoses of pneumothorax, pulmonary embolism, pleural effusion, parenchymal pathology, and masses (κ: 0.90, κ: 0.87, κ: 0.71, κ: 0.79, and κ: 0.91, respectively) and to the diagnoses of intraabdominal free fluid, intraabdominal free gas, aortic pathology, splenic pathology, gallbladder pathology, mesenteric artery embolism, appendicitis, gynecological pathology, and renal pathology (κ: 1, κ: 0.92, κ: 0.96, κ: 0.88, κ: 0.80, κ: 0.79, κ: 0.89, κ: 0.88, and κ: 0.82, respectively). CONCLUSION: The EPs are successful in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal CT scans. |
format | Online Article Text |
id | pubmed-9069923 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-90699232022-05-05 Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases Karakoyun, Omer Faruk Kozaci, Nalan Avci, Mustafa Uzunay, Huseyin Turk J Emerg Med Original Article OBJECTIVE: The aim of this study is to evaluate the accuracy levels of the emergency physicians (EPs) managing the patient in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal computed tomography (CT) scans. METHODS: The EPs interpreted the CT scans of patients who visited the emergency department because of nontraumatic causes. Then, a radiology instructor made final assessments of these CT scans. Based on the interpretation of the radiology instructor, the false-positive rate, false-negative rate, sensitivity, specificity, positive predictive value, negative predictive value, and kappa coefficient (κ) of the EPs’ interpretations of the CT scans were calculated. RESULTS: A total of 268 thoracics and 185 abdominal CT scans were assessed in our study. The overall sensitivity and specificity of the EPs’ interpretation of the thoracic CT scans were 90% and 89%, respectively, whereas the abdominal CT interpretation was 88% and 86%, respectively. There was excellent concordance between the EPs and the radiology instructor with regard to the diagnoses of pneumothorax, pulmonary embolism, pleural effusion, parenchymal pathology, and masses (κ: 0.90, κ: 0.87, κ: 0.71, κ: 0.79, and κ: 0.91, respectively) and to the diagnoses of intraabdominal free fluid, intraabdominal free gas, aortic pathology, splenic pathology, gallbladder pathology, mesenteric artery embolism, appendicitis, gynecological pathology, and renal pathology (κ: 1, κ: 0.92, κ: 0.96, κ: 0.88, κ: 0.80, κ: 0.79, κ: 0.89, κ: 0.88, and κ: 0.82, respectively). CONCLUSION: The EPs are successful in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal CT scans. Wolters Kluwer - Medknow 2022-04-11 /pmc/articles/PMC9069923/ /pubmed/35529030 http://dx.doi.org/10.4103/2452-2473.342804 Text en Copyright: © 2022 Turkish Journal of Emergency Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Karakoyun, Omer Faruk Kozaci, Nalan Avci, Mustafa Uzunay, Huseyin Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title_full | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title_fullStr | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title_full_unstemmed | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title_short | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
title_sort | accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069923/ https://www.ncbi.nlm.nih.gov/pubmed/35529030 http://dx.doi.org/10.4103/2452-2473.342804 |
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