Amirah Fahad Alshammeri, Yousef A Alhamaid, Ali Mohammad Alshakhs, Zinab Hasan Bohulaigah, Ghaida Abdullah Eissa, Manahel Salem Almutairi, Wajd Alhadi, Hussain Amin Algafly
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Carefully selected questions addressed a range of x-ray abnormalities in pediatric emergencies, assessing fundamental understanding of x-ray interpretation, such as inspiratory vs. expiratory and AP or PA films.</p><p><strong>Results: </strong>The study included 385 participants, primarily Saudi nationals in the eastern region, with an equal gender distribution and ages ranging from 20 to 29 years. Approximately 29.09% demonstrated fair knowledge, with 28% being Junior Pediatrics Residents, 18% Pediatric Consultants, and 15% Senior Pediatrics Residents. Fair knowledge was significantly associated with individuals aged 20-29 years, residents of the western region, and Junior Pediatrics Residents. Clinical knowledge varied among different groups, with 59% correctly identifying atypical pneumonia and 65% recognizing asymmetrical hyperinflation. However, rates for other conditions differed, with low identification of potential foreign body aspiration and film type. Accuracy in identifying tension pneumothorax and hyperlucency varied among clinicians. Pleural effusion films had a 65% identification rate for the diagnosis, but only 28% accurately described the X-ray and selected the correct answer for lung opacity.</p><p><strong>Conclusion: </strong>The study concluded that 29.9% of the participating physicians exhibited fair knowledge of common pediatric emergency radiological films. Junior pediatric residents showed the best knowledge, and Tetralogy of Fallot, asymmetrical hyperinflation, and pleural effusion had the highest recognition rates. In conclusion, there is still a need for radiologists in the pediatric emergency department to ensure optimal functioning.</p>","PeriodicalId":11623,"journal":{"name":"Emergency Radiology","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"X-ray interpretation in emergency department in the Kingdom of Saudi Arabia. Do we need the radiologist?\",\"authors\":\"Amirah Fahad Alshammeri, Yousef A Alhamaid, Ali Mohammad Alshakhs, Zinab Hasan Bohulaigah, Ghaida Abdullah Eissa, Manahel Salem Almutairi, Wajd Alhadi, Hussain Amin Algafly\",\"doi\":\"10.1007/s10140-024-02217-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Chest x-rays are widely used for diagnosing chest pathology worldwide. 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引用次数: 0
摘要
简介胸部 X 光片在全球广泛用于诊断胸部病变。儿科医生经常在急诊科解读胸部 X 光片,指导患者的治疗。本研究旨在评估非放射科医生在解读急诊胸部 X 光片方面的能力,并与不同级别的受训人员进行比较,以确定放射科医生参与的必要性:方法:2023 年 9 月至 10 月在沙特阿拉伯进行了一项横断面在线调查,共有 385 人参与,包括来自不同地区的儿科医生和医学实习生。精心挑选的问题涉及儿科急诊中的一系列 X 射线异常,评估对 X 射线解读的基本理解,如吸气与呼气、AP 或 PA 片:研究包括 385 名参与者,主要是东部地区的沙特人,性别分布均衡,年龄在 20 岁至 29 岁之间。约有 29.09% 的人知识水平一般,其中 28% 为初级儿科住院医师,18% 为儿科顾问,15% 为高级儿科住院医师。知识一般与 20-29 岁、西部地区居民和初级儿科住院医师明显相关。不同群体对临床知识的掌握程度各不相同,59%的人能够正确识别非典型肺炎,65%的人能够识别不对称过度充气。然而,对其他病症的识别率却有所不同,对潜在异物吸入和胶片类型的识别率较低。不同临床医生对张力性气胸和过度充气的识别准确率各不相同。胸腔积液胶片的诊断识别率为 65%,但只有 28% 的人准确描述了 X 光片并选择了肺不张的正确答案:研究得出结论:29.9%的参与医生对常见儿科急诊放射片的知识掌握一般。初级儿科住院医师的知识水平最高,法洛氏四联症、不对称过度充气和胸腔积液的识别率最高。总之,儿科急诊科仍然需要放射科医生,以确保其最佳运作。
X-ray interpretation in emergency department in the Kingdom of Saudi Arabia. Do we need the radiologist?
Introduction: Chest x-rays are widely used for diagnosing chest pathology worldwide. Pediatricians frequently interpret chest radiographs in the emergency department, guiding patient management. This study aims to assess the competency of non-radiologists in interpreting emergency chest x-rays and compare it with trainees of different levels to determine the necessity of radiologist input.
Methodology: A cross-sectional online survey was conducted in Saudi Arabia from September to October 2023, involving 385 participants, including pediatricians and medical interns from various regions. Carefully selected questions addressed a range of x-ray abnormalities in pediatric emergencies, assessing fundamental understanding of x-ray interpretation, such as inspiratory vs. expiratory and AP or PA films.
Results: The study included 385 participants, primarily Saudi nationals in the eastern region, with an equal gender distribution and ages ranging from 20 to 29 years. Approximately 29.09% demonstrated fair knowledge, with 28% being Junior Pediatrics Residents, 18% Pediatric Consultants, and 15% Senior Pediatrics Residents. Fair knowledge was significantly associated with individuals aged 20-29 years, residents of the western region, and Junior Pediatrics Residents. Clinical knowledge varied among different groups, with 59% correctly identifying atypical pneumonia and 65% recognizing asymmetrical hyperinflation. However, rates for other conditions differed, with low identification of potential foreign body aspiration and film type. Accuracy in identifying tension pneumothorax and hyperlucency varied among clinicians. Pleural effusion films had a 65% identification rate for the diagnosis, but only 28% accurately described the X-ray and selected the correct answer for lung opacity.
Conclusion: The study concluded that 29.9% of the participating physicians exhibited fair knowledge of common pediatric emergency radiological films. Junior pediatric residents showed the best knowledge, and Tetralogy of Fallot, asymmetrical hyperinflation, and pleural effusion had the highest recognition rates. In conclusion, there is still a need for radiologists in the pediatric emergency department to ensure optimal functioning.
期刊介绍:
To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!