Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases
| dc.contributor.author | Karakoyun, Ömer Faruk | |
| dc.contributor.author | Kozacı, Nalan | |
| dc.contributor.author | Avcı, Mustafa | |
| dc.contributor.author | Uzunay, Hüseyin | |
| dc.date.accessioned | 2023-10-02T06:34:15Z | |
| dc.date.available | 2023-10-02T06:34:15Z | |
| dc.date.issued | 2022 | |
| dc.department | ALKÜ, Fakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü | |
| dc.description.abstract | 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 (?) 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 (?: 0.90, ?: 0.87, ?: 0.71, ?: 0.79, and ?: 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 (?: 1, ?: 0.92, ?: 0.96, ?: 0.88, ?: 0.80, ?: 0.79, ?: 0.89, ?: 0.88, and ?: 0.82, respectively). CONCLUSION: The EPs are successful in the interpretation of the urgent-emergent pathological findings in thoracic and abdominal CT scans. | |
| dc.identifier.doi | 10.4103/2452-2473.342804 | |
| dc.identifier.endpage | 95 | en_US |
| dc.identifier.issue | 2 | en_US |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.startpage | 89 | en_US |
| dc.identifier.uri | https://www.scopus.com/record/display.uri?eid=2-s2.0-85140785592&origin=resultslist&sort=plf-f&src=s&nlo=&nlr=&nls=&sid=20c4fe371b9b908d4f7e419f791331ff&sot=aff&sdt=cl&cluster=scofreetoread%2c%22all%22%2ct&sl=72&s=AF-ID%28%22Alanya+Alaaddin+Keykubat+University%22+60198720%29+AND+SUBJAREA%28MEDI%29&relpos=57&citeCnt=0&searchTerm= | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12868/2365 | |
| dc.identifier.uri | https://journals.lww.com/tjem/fulltext/2022/22020/accuracy_of_emergency_physicians__interpretation.5.aspx | |
| dc.identifier.volume | 22 | en_US |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.relation.ispartof | Turkish Journal of Emergency Medicine | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | Abdomen | |
| dc.subject | Chest | |
| dc.subject | Computed tomography | |
| dc.subject | Emergency department | |
| dc.subject | Emergency physician | |
| dc.subject | Interpretation | |
| dc.subject | Thorax | |
| dc.title | Accuracy of emergency physicians’ interpretation of computed tomography for urgent-emergent diagnoses in nontraumatic cases | |
| dc.type | Article |
