지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.3
- 발행연도
- 2021.9
- 수록면
- 207 - 215 (9page)
- DOI
- https://doi.org/10.15441/ceem.20.118
이용수
초록· 키워드
오류제보하기
Objective Accurate interpretation of computed tomography (CT) scans is critical for patient care in the emergency department. We aimed to identify factors associated with an incorrect interpretation of abdominal CT by novice emergency residents and to analyze the characteristics of incorrectly interpreted scans. Methods This retrospective analysis of a prospective observational cohort was conducted at three urban emergency departments. Discrepancies between the interpretations by postgraduate year-1 (PGY-1) emergency residents and the final radiologists’ reports were assessed by independent adjudicators. Potential factors associated with incorrect interpretation included patient age, sex, time of interpretation, and organ category. Adjusted odds ratios (aORs) for incorrect interpretation were calculated using multivariable logistic regression analysis. Results Among 1,628 eligible cases, 270 (16.6%) were incorrect. The urinary system was the most correctly interpreted organ system (95.8%, 365/381), while the biliary tract was the most incorrectly interpreted (28.4%, 48/169). Normal CT images showed high false-positive rates of incorrect interpretation (28.2%, 96/340). Organ category was found to be a major determinant of incorrect interpretation. Using the urinary system as a reference, the aOR for incorrect interpretation of biliary tract disease was 9.20 (95% confidence interval, 5.0?16.90) and the aOR for incorrectly interpreting normal CT images was 8.47 (95% confidence interval, 4.85?14.78). Conclusion Biliary tract disease is a major factor associated with incorrect preliminary interpretations of abdominal CT scans by PGY-1 emergency residents. PGY-1 residents also showed high false-positive interpretation rates for normal CT images. Emergency residents’ training should focus on these two areas to improve abdominal CT interpretation accuracy.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Bhuiya FA / 2010 / Emergency department visits for chest pain and abdominal pain: United States, 1999-2008 / NCHS Data Brief :1~8
Rosen MP / 2000 / Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain / AJR Am J Roentgenol 174:1391~1396
Abujudeh HH / 2011 / Abdominopelvic CT increases diagnostic certainty and guides management decisions : a prospective investigation of 584 patients in a large academic medical center / AJR Am J Roentgenol 196:238~243
Gardner CS / 2015 / Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain / Abdom Imaging 40:2877~2882
Boone JM / 2008 / Computed tomography use in a tertiary care university hospital / J Am Coll Radiol 5:132~138
Rosen MP / 2000 / Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain / AJR Am J Roentgenol 174:1391~1396
Abujudeh HH / 2011 / Abdominopelvic CT increases diagnostic certainty and guides management decisions : a prospective investigation of 584 patients in a large academic medical center / AJR Am J Roentgenol 196:238~243
Gardner CS / 2015 / Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain / Abdom Imaging 40:2877~2882
Boone JM / 2008 / Computed tomography use in a tertiary care university hospital / J Am Coll Radiol 5:132~138
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