Your browser doesn't support javascript.
loading
Assessment of real-time electrocardiogram effects on interpretation quality by emergency physicians.
Perrichot, Alice; Vaittinada Ayar, Pradeebane; Taboulet, Pierre; Choquet, Christophe; Gay, Matthieu; Casalino, Enrique; Steg, Philippe Gabriel; Curac, Sonja; Vaittinada Ayar, Prabakar.
Afiliación
  • Perrichot A; Emergency Department, Beaujon Hospital AP-HP, Clichy, France.
  • Vaittinada Ayar P; Laboratoire des Sciences du Climat et l'Environnement (LSCE-IPSL), CNRS/CEA/UVSQ, UMR8212, Université Paris-Saclay, Gif-sur-Yvette, 91190, France.
  • Taboulet P; Emergency Department, Saint Louis Hospital AP-HP, Clichy, France.
  • Choquet C; Emergency Department, Bichat Hospital AP-HP, Clichy, France.
  • Gay M; Emergency Department, Beaujon Hospital AP-HP, Clichy, France.
  • Casalino E; Emergency Department, Bichat Hospital AP-HP, Clichy, France.
  • Steg PG; Cardiology Department, Bichat Hospital AP-HP, Clichy, France.
  • Curac S; Emergency Department, Beaujon Hospital AP-HP, Clichy, France.
  • Vaittinada Ayar P; Emergency Department, Beaujon Hospital AP-HP, Clichy, France. pvaittinada@gmail.com.
BMC Med Educ ; 23(1): 677, 2023 Sep 18.
Article en En | MEDLINE | ID: mdl-37723508
BACKGROUND: Electrocardiogram (ECG) is one of the most commonly performed examinations in emergency medicine. The literature suggests that one-third of ECG interpretations contain errors and can lead to clinical adverse outcomes. The purpose of this study was to assess the quality of real-time ECG interpretation by senior emergency physicians compared to cardiologists and an ECG expert. METHODS: This was a prospective study in two university emergency departments and one emergency medical service. All ECGs were performed and interpreted over five weeks by a senior emergency physician (EP) and then by a cardiologist using the same questionnaire. In case of mismatch between EP and the cardiologist our expert had the final word. The ratio of agreement between both interpretations and the kappa (k) coefficient characterizing the identification of major abnormalities defined the reading ability of the emergency physicians. RESULTS: A total of 905 ECGs were analyzed, of which 705 (78%) resulted in a similar interpretation between emergency physicians and cardiologists/expert. However, the interpretations of emergency physicians and cardiologists for the identification of major abnormalities coincided in only 66% (k: 0.59 (95% confidence interval (CI): 0.54-0.65); P-value = 1.64e-92). ECGs were correctly classified by emergency physicians according to their emergency level in 82% of cases (k: 0.73 (95% CI: 0.70-0.77); P-value ≈ 0). Emergency physicians correctly recognized normal ECGs (sensitivity = 0.91). CONCLUSION: Our study suggested gaps in the identification of major abnormalities among emergency physicians. The initial and ongoing training of emergency physicians in ECG reading deserves to be improved.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia / Cardiólogos Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia / Cardiólogos Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido