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Comparing Accuracy of Night Radiology Interpretations for Pediatric Trauma: Radiology Residents Versus Attending Teleradiologists.
Martino, Alice M; Yeates, Eric O; Grigorian, Areg; Chinn, Justine; Young, Hayley; Colin Escobar, Jessica; Glavis-Bloom, Justin; Anavim, Arash; Yaghmai, Vahid; Nguyen, Ninh T; Dolich, Matthew; Schubl, Sebastian D; Goodman, Laura F; Guner, Yigit S; Nahmias, Jeffry.
Afiliación
  • Martino AM; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Yeates EO; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Grigorian A; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Chinn J; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Young H; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Colin Escobar J; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Glavis-Bloom J; Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA.
  • Anavim A; Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA.
  • Yaghmai V; Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA.
  • Nguyen NT; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Dolich M; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Schubl SD; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Goodman LF; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
  • Guner YS; Department of Pediatric Surgery, Children's Hospital of Orange County, Orange, CA, USA.
  • Nahmias J; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA.
Am Surg ; 90(10): 2436-2441, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38655777
ABSTRACT

Background:

Overnight radiology coverage for pediatric trauma patients (PTPs) is addressed with a combination of on-call radiology residents (RRs) and/or attending teleradiologists (ATs); however, the accuracy of these two groups has not been investigated for PTPs. We aimed to compare the accuracy of RRs vs AT interpretations of computed tomography (CT) scans for PTPs.

Methods:

Pediatric trauma patients (<18 years old) at a single level-I adult/level-II pediatric trauma center were studied in a retrospective analysis (3/2019-5/2020). Computed tomography scans interpreted by both RRs and ATs were included. Radiology residents were compared to ATs for time to interpretation (TTI) and accuracy compared to faculty attending radiologist interpretation, using the validated RADPEER scoring system. Additionally, RR and AT accuracies were compared to a previously studied adult cohort during the same time-period.

Results:

42 PTPs (270 interpretations) and 1053 adults (8226 interpretations) were included. Radiology residents had similar rates of discrepancy (13.3% vs 13.3%), major discrepancy (4.4% vs 4.4%), missed findings (9.6% vs 12.6%), and overcalls (3.7% vs .7%) vs ATs (all P > .05). Mean TTI was shorter for RRs (55.9 vs 90.4 minutes, P < .001). Radiology residents had a higher discrepancy rate for PTPs (13.3% vs 7.5%, P = .01) than adults. Attending teleradiologists had a similar discrepancy rate for PTPs and adults (13.3% vs 8.9%, P = .07).

Discussion:

When interpreting PTP CT imaging, RRs had similar discrepancy rates but faster TTI than ATs. Radiology residents had a higher discrepancy rate for PTP CTs than RR interpretation of adult patients, indicating both RRs and ATs need more focused training in the interpretation of PTP studies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tomografía Computarizada por Rayos X / Internado y Residencia Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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: Tomografía Computarizada por Rayos X / Internado y Residencia Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos