Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Do pediatric intensivists and radiologists concur on the interpretation of chest radiographs? | Available online http content 2 2 67 Research Do pediatric intensivists and radiologists concur on the interpretation of chest radiographs C Robert Chambliss1 Toni Petrillo1 Burton L Lesnick2 and Kevin Sullivan3 1Egleston Children s Hospital 1405 Clifton Road NE Atlanta Georgia 30322 USA. 2Department of Pediatrics Emory University 2040 Ridgewood Drive Atlanta Georgia 30322 USA. 3Emory University 448 Grace C Rollins Building 1559 Clifton Road Atlanta Georgia 30322 USA. Received 12 February 1998 Revisions requested 17 April 1998 Revisions received 8 May 1998 Accepted 12 May 1998 Published 22 May 1998 1998 Current Science Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Crit Care 1998 2 67 Abstract Background Therapeutic decisions in the pediatric intensive care unit are made by pediatric intensivists PI based on their interpretation of chest radiographs before the formal interpretation by a pediatric radiologist PR . This study was designed to determine the adequacy of chest radiograph interpretations by pediatric intensivists and the effects on patient care. The PI recorded their chest radiograph interpretations documenting support devices and thoracic abnormalities. Concordance and discordance were determined by the pediatric pulmonologist who was not involved in the care of the patient by comparing the interpretations of the PI and PR. Clinically significant discordance was defined as interpretations by the radiologist that differed to those from the PI that may have required therapeutic intervention. Results The evaluation of 291 chest radiographs demonstrated an overall concordance rate of 240 out of 291 P . There was no significant difference in the ability of critical care medicine physicians to identify atelectasis infiltrates pleural effusions or airleaks P . Support devices Were correctly identified in 100 of the cases. Discordant interpretations included 20 that were clinically significant 17 insignificant findings and 14 films .
