Çoklu travma hastalarında tarama bilgisayarlı tomografi (beyin bt, servikal bt, toraks bt, batın bt) yorumlamalarında; acil tıp asistan yorumlarının radyoloji raporu ile uyumluluğunun değerlendirilmesi
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Dosyalar
Tarih
2020
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Yayıncı
Hatay Mustafa Kemal Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmadaki amacımız, hastanemiz acil servisine başvuran çoklu travması olan hastalara istenen tarama bilgisayarlı tomografi (Beyin BT-Servikal BT-Toraks BT-Batın BT) görüntülerinin acil tıp asistanları (ATA)'nın yaptığı görüntü değerlendirmesinin radyoloji raporu ile uyumluluğunu karşılaştırmaktır. Gereç ve yöntem: Bu çalışma Hatay Mustafa Kemal Üniversitesi Hastanesi Acil servisinde bir yıllık dönem içinde kabul edilen 150 çoklu travma hastasının görüntülemesi ile yapıldı. Hastaların çekilen Beyin BT-Servikal BT-Toraks BT-Batın BT'lerin resmi yorumu ve ATA yorumları karşılaştırıldı. İki grup arasındaki doğruluk oranı, kappa katsayısı, spesifite, sensitivite, pozitif prediktif değer (PPD) ve negatif prediktif değer (NPD) hesaplandı. Veriler SPSS. version 22'e kaydedilerek analiz edildi Bulgular: Beyin BT'de doğruluk oranının %96 (kappa: 0.920), servikal BT'de doğruluk oranının %96.7 (kappa: 0.882), toraks BT'de doğruluk oranının %96.6 (kappa: 0.926) ve batın BT'de doğruluk oranının %96.6 (kappa: 0.919) olduğu saptandı. Çalışmamızda tüm BT'lerin torumlanmasındaki doğruluk oranının %96 ve kappa değerinin 0.764 (spesifite: %97.1, sensitivite: %84.6, PPD: %98.5, NPD: %73.3) olduğu saptandı. Çalışmamızda beyin, servikal, toraks ve batın BT'lerde ATA'lar ve radyologların değerlendirilmesindeki benzerlik istatistiksel olarak anlamlıydı (p<0.05). Sonuç: Acil servislerde çekilen BT'lerde ATA'lar ve radyologların yorumları arasında yüksek düzeyde uyumluluk mevcuttu. Bu durumun hastaların klinik değerlendirme, tanı ve tedavi aşamasındaki süreci kısaltacağı kanaatindeyiz.
Aim: Our aim in this study is to compare the compatibility of the scanned computed tomography (Brain CT-Cervical CT-Thorax CT-Abdominal CT) images of the patients with multiple trauma admitted to the emergency department of our hospital with the radiology report of the image evaluation made by the emergency medicine residents. Materials and Methods: This study was conducted with the imaging of 150 multiple trauma patients who were admitted in the Emergency Department of Hatay Mustafa Kemal University Hospital in a one-year period. The official interpretation and emergency medical assistant comments of the patients' Brain CT-Cervical CT-Thorax CT-Abdominal CTs were compared. The accuracy rate, kappa coefficient, specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) between the two groups were calculated. The data were recorded in SPSS version 22 and analyzed. Results: It was found that the accuracy rate in brain CT was 96% (kappa: 0.920), the accuracy rate in cervical CT was 96.7% (kappa: 0.882), the accuracy rate in thoracic CT was 96.6% (kappa: 0.926), and the accuracy rate in abdominal CT 96.6% (kappa: 0.919). In our study, it was found that the accuracy rate in the interpretation of all CTs was 96% and the kappa value was 0.764 (specificity: 97.1%, sensitivity: 84.6%, PPD: 98.5%, NPD: 73.3%). In our study, the similarity in the evaluation of emergency medicine assistant and radiologists in brain, cervical, thoracic and abdominal CTs was similarly significant (p <0.05). Conclusion: There is a high consistency between the comments of emergency medicine assistant and radiologists in CTs taken in emergency rooms. We believe that this situation will shorten the process of clinical evaluation, diagnosis and treatment of patients.
Aim: Our aim in this study is to compare the compatibility of the scanned computed tomography (Brain CT-Cervical CT-Thorax CT-Abdominal CT) images of the patients with multiple trauma admitted to the emergency department of our hospital with the radiology report of the image evaluation made by the emergency medicine residents. Materials and Methods: This study was conducted with the imaging of 150 multiple trauma patients who were admitted in the Emergency Department of Hatay Mustafa Kemal University Hospital in a one-year period. The official interpretation and emergency medical assistant comments of the patients' Brain CT-Cervical CT-Thorax CT-Abdominal CTs were compared. The accuracy rate, kappa coefficient, specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) between the two groups were calculated. The data were recorded in SPSS version 22 and analyzed. Results: It was found that the accuracy rate in brain CT was 96% (kappa: 0.920), the accuracy rate in cervical CT was 96.7% (kappa: 0.882), the accuracy rate in thoracic CT was 96.6% (kappa: 0.926), and the accuracy rate in abdominal CT 96.6% (kappa: 0.919). In our study, it was found that the accuracy rate in the interpretation of all CTs was 96% and the kappa value was 0.764 (specificity: 97.1%, sensitivity: 84.6%, PPD: 98.5%, NPD: 73.3%). In our study, the similarity in the evaluation of emergency medicine assistant and radiologists in brain, cervical, thoracic and abdominal CTs was similarly significant (p <0.05). Conclusion: There is a high consistency between the comments of emergency medicine assistant and radiologists in CTs taken in emergency rooms. We believe that this situation will shorten the process of clinical evaluation, diagnosis and treatment of patients.
Açıklama
Anahtar Kelimeler
Acil Tıp, Emergency Medicine, Çoklu travma, acil servis, tomografi, acil tıp asistanı, Multiple trauma, emergency department, tomography, emergency medicine assistant
