Groin Abscess: Assessing The Diagnostic Accuracy Of Emergency Department Clinicians And Imaging Modalities

IF 4.6 2区 教育学 Q1 EDUCATION & EDUCATIONAL RESEARCH Educational Technology & Society Pub Date : 2020-10-31 DOI:10.24966/ets-8798/100050
V. Ameh
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Abstract

Objective: To determine the clinical and imaging diagnostic accuracy in adult patients presenting to the Emergency Department with groin abscess. Method: Retrospective chart review of all adult patients presenting to a district general hospital with a provisional diagnosis of groin abscess was undertaken from January 2019 to December 2019. A proforma was used to capture data such as the age, sex, co-morbidities, grade of assessing clinician and imaging profile. Results: 39 patients with a provisional diagnosis of groin abscess were identified; representing approximately 1% of all ED attendances. There were 21 males and 18 females. The age range was from 23 to 73 years (mean age 42). The abscess was located on the left side in 19 patients (49%), 18 (46%) on the right and 2 (5%) were bilateral. The overall rate of correct diagnosis of the ED clinicians compared to CT diagnosis is indicated by a sensitivity of 82%, positive predictive value of 90% and an accuracy of 75%. 22 patients had CT scan which confirmed an abscess in 18 (83%). Conclusion: Groin abscess is a rare presentation to the Emergency department. Most patients were seen by clinicians below the consultant grade. Diagnostic accuracy was highest amongst physicians.
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腹股沟脓肿:评估急诊科临床医生和影像学诊断的准确性
目的:确定在急诊科就诊的成年腹股沟脓肿患者的临床和影像学诊断准确性。方法:对2019年1月至2019年12月在地区综合医院就诊的所有临时诊断为腹股沟脓肿的成年患者进行回顾性图表审查。形式表用于获取年龄、性别、合并症、临床医生评估等级和影像学资料等数据。结果:39例患者经临时诊断为腹股沟脓肿;约占所有急诊就诊人数的1%。男21例,女18例。年龄范围为23至73岁(平均42岁)。脓肿位于左侧19例(49%),右侧18例(46%),双侧2例(5%)。与CT诊断相比,ED临床医生的总体正确诊断率为82%,阳性预测值为90%,准确率为75%。22例患者进行了CT扫描,其中18例(83%)确诊为脓肿。结论:腹股沟脓肿是急诊科罕见的表现。大多数患者由顾问级别以下的临床医生就诊。医生的诊断准确率最高。
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来源期刊
Educational Technology & Society
Educational Technology & Society EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
9.10
自引率
2.50%
发文量
1
审稿时长
20 weeks
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