Comparison of CT head interpretation between emergency physicians and neuroradiologists

Abdullah Al-Reesi, Ian G. Stiell, Nabil Al-Zadjali, A. Adam Cwinn

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Cranial computed tomography (CT) of the head is widely used in the emergency department 24 h a day. We compared the accuracy of CT head interpretation between staff emergency physicians (EPs) and neuroradiologists. We conducted a health records review of patients who required head CT in the emergency department. Two independent reviewers rated disagreement as clinically normal, significant, or clinically insignificant findings using published definition criteria. We calculated concordance and prepared descriptive and κ statistics with 95% confidence intervals using SAS 9.1 software. We included 442 for this study. CT heads were classified as: normal or nonacute 81.5% (360 cases), insignificant 3.8% (17 cases), and significant 14.7% (65 cases). The weighted κ for agreement was 0.83 (95% confidence interval 0.76-0.90). None of these patients had adverse outcomes related to EP misinterpretation of the CT head. In conclusion, clinically important findings on CT head are not commonly missed by our EPs and patients rarely have inappropriate disposition.

Original languageEnglish
Pages (from-to)280-282
Number of pages3
JournalEuropean Journal of Emergency Medicine
Volume17
Issue number5
DOIs
Publication statusPublished - Oct 2010

Fingerprint

Emergencies
Head
Tomography
Physicians
Hospital Emergency Service
Confidence Intervals
Software
Health

Keywords

  • agreement
  • computed tomography head
  • emergency department
  • emergency physicians
  • interpretation
  • neuroradiologists

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Comparison of CT head interpretation between emergency physicians and neuroradiologists. / Al-Reesi, Abdullah; Stiell, Ian G.; Al-Zadjali, Nabil; Cwinn, A. Adam.

In: European Journal of Emergency Medicine, Vol. 17, No. 5, 10.2010, p. 280-282.

Research output: Contribution to journalArticle

Al-Reesi, Abdullah ; Stiell, Ian G. ; Al-Zadjali, Nabil ; Cwinn, A. Adam. / Comparison of CT head interpretation between emergency physicians and neuroradiologists. In: European Journal of Emergency Medicine. 2010 ; Vol. 17, No. 5. pp. 280-282.
@article{6207ca8614eb40d0ba9362b6d026b1ff,
title = "Comparison of CT head interpretation between emergency physicians and neuroradiologists",
abstract = "Cranial computed tomography (CT) of the head is widely used in the emergency department 24 h a day. We compared the accuracy of CT head interpretation between staff emergency physicians (EPs) and neuroradiologists. We conducted a health records review of patients who required head CT in the emergency department. Two independent reviewers rated disagreement as clinically normal, significant, or clinically insignificant findings using published definition criteria. We calculated concordance and prepared descriptive and κ statistics with 95{\%} confidence intervals using SAS 9.1 software. We included 442 for this study. CT heads were classified as: normal or nonacute 81.5{\%} (360 cases), insignificant 3.8{\%} (17 cases), and significant 14.7{\%} (65 cases). The weighted κ for agreement was 0.83 (95{\%} confidence interval 0.76-0.90). None of these patients had adverse outcomes related to EP misinterpretation of the CT head. In conclusion, clinically important findings on CT head are not commonly missed by our EPs and patients rarely have inappropriate disposition.",
keywords = "agreement, computed tomography head, emergency department, emergency physicians, interpretation, neuroradiologists",
author = "Abdullah Al-Reesi and Stiell, {Ian G.} and Nabil Al-Zadjali and Cwinn, {A. Adam}",
year = "2010",
month = "10",
doi = "10.1097/MEJ.0b013e32833483ed",
language = "English",
volume = "17",
pages = "280--282",
journal = "European Journal of Emergency Medicine",
issn = "0969-9546",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Comparison of CT head interpretation between emergency physicians and neuroradiologists

AU - Al-Reesi, Abdullah

AU - Stiell, Ian G.

AU - Al-Zadjali, Nabil

AU - Cwinn, A. Adam

PY - 2010/10

Y1 - 2010/10

N2 - Cranial computed tomography (CT) of the head is widely used in the emergency department 24 h a day. We compared the accuracy of CT head interpretation between staff emergency physicians (EPs) and neuroradiologists. We conducted a health records review of patients who required head CT in the emergency department. Two independent reviewers rated disagreement as clinically normal, significant, or clinically insignificant findings using published definition criteria. We calculated concordance and prepared descriptive and κ statistics with 95% confidence intervals using SAS 9.1 software. We included 442 for this study. CT heads were classified as: normal or nonacute 81.5% (360 cases), insignificant 3.8% (17 cases), and significant 14.7% (65 cases). The weighted κ for agreement was 0.83 (95% confidence interval 0.76-0.90). None of these patients had adverse outcomes related to EP misinterpretation of the CT head. In conclusion, clinically important findings on CT head are not commonly missed by our EPs and patients rarely have inappropriate disposition.

AB - Cranial computed tomography (CT) of the head is widely used in the emergency department 24 h a day. We compared the accuracy of CT head interpretation between staff emergency physicians (EPs) and neuroradiologists. We conducted a health records review of patients who required head CT in the emergency department. Two independent reviewers rated disagreement as clinically normal, significant, or clinically insignificant findings using published definition criteria. We calculated concordance and prepared descriptive and κ statistics with 95% confidence intervals using SAS 9.1 software. We included 442 for this study. CT heads were classified as: normal or nonacute 81.5% (360 cases), insignificant 3.8% (17 cases), and significant 14.7% (65 cases). The weighted κ for agreement was 0.83 (95% confidence interval 0.76-0.90). None of these patients had adverse outcomes related to EP misinterpretation of the CT head. In conclusion, clinically important findings on CT head are not commonly missed by our EPs and patients rarely have inappropriate disposition.

KW - agreement

KW - computed tomography head

KW - emergency department

KW - emergency physicians

KW - interpretation

KW - neuroradiologists

UR - http://www.scopus.com/inward/record.url?scp=77956397885&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77956397885&partnerID=8YFLogxK

U2 - 10.1097/MEJ.0b013e32833483ed

DO - 10.1097/MEJ.0b013e32833483ed

M3 - Article

VL - 17

SP - 280

EP - 282

JO - European Journal of Emergency Medicine

JF - European Journal of Emergency Medicine

SN - 0969-9546

IS - 5

ER -