Agreement between emergency physician diagnosis and radiologist reports in patients discharged from an emergency department with community-acquired pneumonia

被引：33

作者：

Campbell S.G. ^{[1
]}

Murray D.D. ^{[1
]}

Hawass A. ^{[1
]}

Urquhart D. ^{[1
]}

Ackroyd-Stolarz S. ^{[1
]}

Maxwell D. ^{[1
]}

机构：

[1] Department of Emergency Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, NS B3H 3A7

来源：

Emergency Radiology | 2005年 / 11卷 / 4期

关键词：

Community-acquired pneumonia; Emergency Department; Radiology reports; X-ray;

D O I：

10.1007/s10140-005-0413-4

中图分类号：

学科分类号：

摘要：

To evaluate the level of concurrence between radiologist reports and the diagnosis of community-acquired pneumonia (CAP) in patients discharged from an emergency department (ED), a retrospective chart audit of patients discharged with a diagnosis of 'pneumonia' or 'possible pneumonia' from the ED during a 2-year period was conducted. Emergency physician (EP) and radiology report (RR) diagnoses were categorized as 'pneumonia', 'possible pneumonia', 'non-pneumonia' and 'normal', and categories from each were compared. 815 charts were analyzed. Of 671 EP diagnoses of 'pneumonia', 304 (45.3%) RR's reported 'pneumonia' and 82 (12.2%), 'possible pneumonia'. Of 815 EP diagnoses of 'pneumonia' or 'possible pneumonia', 426 (52.3%) RRs were in agreement, while 216(26.5%) were of diagnoses other than pneumonia and 173 (21.1%) were read as normal. EPs and radiologists frequently disagree on whether a patient has pneumonia or not. Perhaps it is time to revisit the gold standard status of plain chest X-ray. © ASER 2005.

引用

页码：242 / 246

页数：4

共 34 条

[1]

Katz D.S., Leung A.N., Radiology of pneumonia, Clin Chest Med, 3, pp. 549-562, (1999)

[2]

Bartlett J.G., Mundy L.M., Community-acquired pneumonia, N Engl J Med, 333, pp. 1618-1624, (1995)

[3]

Niederman M.S., Mandell L.A., Anzueto A., Et al., Guidelines for the management of community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention, Am J Respir Crit Care Med, 163, pp. 1730-1754, (2001)

[4]

Marrie T.J., Community-acquired pneumonia, Clin Infect Dis, 18, pp. 501-515, (1994)

[5]

Mandell L.A., Marrie T.J., Grossman R.F., Et al., Canadian guidelines for the initial management of community-acquired pneumonia: An evidence-based update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society, Clin Infectious Dis, 31, pp. 383-421, (2000)

[6]

Bosker G., COMMUNITY-ACQUIRED PNEUMONIA Year 2002 Antibiotic Selection and Management Update, (2002)

[7]

Evans A.T., Husain S., Durairaj L., Et al., Azithromycin for acute bronchitis: A randomised, double-blind, controlled trial, Lancet, 359, 9318, pp. 1648-1654, (2002)

[8]

Edmonds M., Evidence-based emergency medicine. Antibiotic treatment for acute bronchitis, Ann Emerg Med, 40, 1, pp. 110-112, (2002)

[9]

Knutson D., Braun C., Diagnosis and management of acute bronchitis, Am Fam Physician, 65, 10, pp. 2039-2044, (2002)

[10]

Ben-David D., Rubinstein E., Appropriate use of antibiotics for respiratory infections: Review of recent statements and position papers, Curr Opin Infect Dis, 5, 2, pp. 151-156, (2002)

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