COMPARING THE INTERPRETATION OF TRAUMATIC CHEST X-RAY BY EMERGENCY MEDICINE SPECIALISTS AND RADIOLOGISTS

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SAFARI SAEED; BARATLOO ALIREZA; NEGIDA AHMED SAID; SANEI TAHERI MORTEZA; HASHEMI BEHROOZ; HOSSEINI SELKISARI SAMANEH

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Journal: Archives of Trauma Research Year:2014 | Volume:3 | Issue:4 Page(s): 1-4

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Title

COMPARING THE INTERPRETATION OF TRAUMATIC CHEST X-RAY BY EMERGENCY MEDICINE SPECIALISTS AND RADIOLOGISTS

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Keywords

EMERGENCY MEDICINE

ADVANCED TRAUMA LIFE SUPPORT CARE

RADIOGRAPHY

THORACIC

RADIOGRAPHIC IMAGE INTERPRETATION

Abstract

Background: Discrepancy between X-ray readings of emergency physicians (EPs) versus radiologists was reported between 0.95% and 16.8% in different studies. The discordance was even higher when specific studies such as chest X-rays (CXR) were probed.Objectives: This prospective study was conducted to assess the discrepancies between emergency and radiology departments with respect to interpretation of the traumatic chest X-rays.Patients and Methods: This prospective study was conducted in Shohadaye Tajrish Hospital, Tehran, Iran, from March to April 2014. Based on Advanced Trauma Life Support (ATLS) guidelines, plain chest RADIOGRAPHY (CXR) was ordered for all patients in two standard views of posterior-anterior and lateral. All CXRs were interpreted by a corresponding EMERGENCY MEDICINE specialist and a radiologist blind to the clinical findings of the patients. Finally, the results of two interpretations were compared. Accuracy, sensitivity, specificity, and predictive values of traumatic CXR interpretation were calculated by EPs with 95% of confidence interval (CI).Results: The evaluation of EPs was identical to that of the radiologists in 89.5% of the cases. Ninety-eight percent (98%) indicated total agreement and 1.5 percent total disagreement.Conclusions: There is a high agreement between EPs and radiologists in CXR interpretations in Shohadaye Tajrish Hospital. Thus, EPs can substitute radiologists in the emergency department. More improvements are recommended to achieve the standard level of agreement.

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APA: Copy

SAFARI, SAEED, BARATLOO, ALIREZA, NEGIDA, AHMED SAID, SANEI TAHERI, MORTEZA, HASHEMI, BEHROOZ, & HOSSEINI SELKISARI, SAMANEH. (2014). COMPARING THE INTERPRETATION OF TRAUMATIC CHEST X-RAY BY EMERGENCY MEDICINE SPECIALISTS AND RADIOLOGISTS. ARCHIVES OF TRAUMA RESEARCH, 3(4), 1-4. SID. https://sid.ir/paper/330562/en

Vancouver: Copy

SAFARI SAEED, BARATLOO ALIREZA, NEGIDA AHMED SAID, SANEI TAHERI MORTEZA, HASHEMI BEHROOZ, HOSSEINI SELKISARI SAMANEH. COMPARING THE INTERPRETATION OF TRAUMATIC CHEST X-RAY BY EMERGENCY MEDICINE SPECIALISTS AND RADIOLOGISTS. ARCHIVES OF TRAUMA RESEARCH[Internet]. 2014;3(4):1-4. Available from: https://sid.ir/paper/330562/en

IEEE: Copy

SAEED SAFARI, ALIREZA BARATLOO, AHMED SAID NEGIDA, MORTEZA SANEI TAHERI, BEHROOZ HASHEMI, and SAMANEH HOSSEINI SELKISARI, “COMPARING THE INTERPRETATION OF TRAUMATIC CHEST X-RAY BY EMERGENCY MEDICINE SPECIALISTS AND RADIOLOGISTS,” ARCHIVES OF TRAUMA RESEARCH, vol. 3, no. 4, pp. 1–4, 2014, [Online]. Available: https://sid.ir/paper/330562/en

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