Department of Emergency Medicine, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.
Department of Emergency Medicine, Ministry of Health of Turkey Canakkale Mehmet Akif Ersoy State Hospital, Canakkale, Turkey.
Ir J Med Sci. 2023 Jun;192(3):1473-1479. doi: 10.1007/s11845-022-03149-w. Epub 2022 Sep 9.
Acute appendicitis (AA) is a common cause of abdominal pain resulting in admission to the emergency room. Imaging methods such as ultrasonography and CT are usually used for diagnosing acute appendicitis. Reports regarding CT scans conducted during night shifts are prepared by private teleradiologists.
The aim of this study was to compare the accuracy of point-of-care ultrasound performed by an emergency medicine specialist and private teleradiologists in the diagnosis of AA.
This study was conducted prospectively and in a single center in the emergency department of a tertiary hospital. Patients who were admitted to the study between 15.09.2020 and 15.09.2021 and were diagnosed with AA who met the study criteria were included. A total of 134 patients diagnosed with AA, who met the inclusion criteria, out of 158 operated patients were included in the study.
In the study, 77 were male and 57 were female. The mean age of patients with histopathologically positive AA was 31 and 31.5 in negative patients. The sensitivity and specificity of POCUS performed by the emergency physician and private teleradiology for the diagnosis of AA were 78.4% and 59.3% and 58.8% and 53.1%, respectively.
POCUS performed by an emergency medicine specialist showed a higher sensitivity for the diagnosis of AA compared with private teleradiology. Hence, POCUS is more successful in diagnosing AA than private teleradiology. In conclusion, we recommend the concurrent use of AS and POCUS in emergency departments rather than private teleradiology for the diagnosis of AA.
急性阑尾炎（AA）是导致患者因腹痛而入住急诊室的常见病因。超声和 CT 等影像学方法通常用于诊断急性阑尾炎。夜班时进行的 CT 扫描报告由私人远程放射科医生撰写。
本研究旨在比较急诊医学专家和私人远程放射科医生进行即时护理超声检查（POCUS）诊断 AA 的准确性。
这是一项前瞻性单中心研究，在一家三级医院的急诊科进行。纳入符合研究标准并因 AA 入住的患者。共有 158 例接受手术治疗的 AA 患者，其中 134 例符合纳入标准，被纳入本研究。
在研究中，77 例为男性，57 例为女性。经组织病理学证实为阳性的 AA 患者的平均年龄为 31 岁，阴性患者的平均年龄为 31.5 岁。急诊医师和私人远程放射科医生进行的 POCUS 对 AA 的诊断的敏感性和特异性分别为 78.4%和 59.3%，58.8%和 53.1%。
与私人远程放射科医生相比，急诊医师进行的 POCUS 对 AA 的诊断具有更高的敏感性。因此，POCUS 在诊断 AA 方面比私人远程放射科医生更成功。总之，我们建议在急诊科同时使用 AS 和 POCUS 进行诊断，而不是仅使用私人远程放射科医生进行诊断。
