Evaluation of chest X-ray readings by emergency room physicians of a universitary hospital

A. Urrutia, J. Bechini, J. Tor, A. Olazábal, C. Rey-Joly

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

Abstract

Background: We aimed to find out whether systematic reading of chest radiography (CRx) by radiologists in the emergency unit might lead to a higher diagnostic efficiency and improve health care. Material and method: Descriptive study of consecutive admissions during 3 months in an internal medicine department. We registered the ĆRx interpretation by the emergency unit physician first, and a radiologist the next day. In cases with different interpretations, we assessed whether these differences would have modified the treatment. Results: The overall disagreement between the emergency room physician and the radiologist was 13.7%. In 19 of 29 cases with different readings, the radiologist interpretation was in agreement with the final diagnosis. In 7 of these 19 cases, the radiologist reading of CRx would have led to a positive change of treatment. However, differences between both physicians were not statistically significant. Conclusions: There seems to be a higher diagnostic efficiency when the emergency room physician interpretation of CRx is complemented by a radiologist.
Original languageEnglish
Article number72104
Pages (from-to)332-333
JournalMedicina Clinica
Volume117
Issue number9
DOIs
Publication statusPublished - 1 Jan 2001

Keywords

  • Chest X-ray
  • Diagnosis

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