Acil hekimlerinin ve radyoloji uzmanlarının abdomen BT yorumlama düzeylerinin karşılaştırılması

Year 2019, Volume: 5 Issue: 2, 1482 - 1491, 15.08.2019

Kasim Turgut

https://doi.org/10.30569/adiyamansaglik.566746

Cited By: 1

Abstract

Amaç: BT acil serviste sıklıkla kullanılan bir tanı aracıdır. Hastalara erken ve doğru müdahale
yapabilmek için acil hekimlerinin çekilen BT leri belli düzeyde
yorumlayabilmeleri gerekmektedir. Bu
çalışmada acil hekimlerinin abdomen BT yorumlayabilme düzeylerini belirlemeyi
amaçladık.

Yöntem: 2018 yılı içerisinde travma nedeniyle acilde abdomen BT çekilen 234
hastanın görüntüleri acil hekimleri tarafından yorumlandı. Bu yorumlar önceden
yazılmış olan radyoloji doktoru raporlarlarıyla karşılaştırılarak uyum düzeyi
belirlendi. Bu karşılaştırma kappa istatistiği kullanılarak yapıldı.

Bulgular: Acil hekimlerinin abdomen bilgisayarlı tomografiyi değerlendirmede
radyologlarla uyum oranı 52.1% olarak belirlendi. Acil hekimlerinin abdomen
bilgisayarlı tomografiyi doğru değerlendirme oranı ise 59.22% (95% CI: 52.18-66) ve kappa değeri 0.24 olarak tespit
edildi. Acil hekimlerinin BT yorumlama ile ilgili sensitivite, spesifite,
pozitif prediktif değer ve negatif prediktif değeri sırasıyla 40.98%(95% CI: 32.17-50.25), 85.71%(95% CI: 76.38-92.39), 80.65%(95% CI: 70.30-88.00) ve 50%(95% CI:
45.72-54.28) olarak belirlendi.

Sonuç: Acil hekimlerinin travma hastalarında abdomen BT değerlendirme düzeyleri
yetersizdir. Bu düzeyi yükseltmek için ilgili kuruluşların eğitim programları
düzenlemesi gerekir.

Keywords

abdomen;, bilgisayarlı tomografi, sensitivite;, acil hekimi

Supporting Institution

yok

Project Number

Adıyaman University Clinical Research Ethics Committee (Approval nu: 2019/2-13).

Comparison of abdominal ct interpretation levels of emergency physicians and radiologists

Abstract

Aim: Computerized tomography (CT) is a frequently used
diagnostic tool in the emergency department. In order to provide early and
appropriate intervention for the patients, emergency physicians should be able
to accurately interpret CT images at least to a certain degree. In this study,
we aimed to determine the accuracy of emergency physicians in evaluating an
abdominal CT.

Methods: In 2018, the images of 234 patients who underwent an
abdominal CT due to trauma were interpreted by emergency physicians(EP). The
level of agreement between emergency physicians and radiologists on these
abdominal CT was determined by comparing their evaluations.This comparison was
made using the kappa statistics.

Results: The rate of concordance in CT interpretations between
the EPs and radiologists was 52.1%. The accuracy rate of EP on interpretation
CT images was 59.22% (95% CI: 52.18-66) and the
kappa value was 0.24. For the CT interpretation of emergency physicians, the
sensitivity, specificity, positive predictive value and negative predictive
value were calculated as 40.98%(95% CI: 32.17-50.25), 85.71%(95% CI: 76.38-92.39), 80.65%(95% CI: 70.30-88.00) and 50%(95% CI:
45.72-54.28), respectively.

Conclusion: Emergency physicians’ accuracy in interpreting CT
images is not at an adequate level. The institutions in emergency medicine
should organize educative programs to increase this level.

Keywords

abdomen:, computerized tomography, sensitivity;, emergency physician

Project Number

Adıyaman University Clinical Research Ethics Committee (Approval nu: 2019/2-13).

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