Fleisher G, Ludwig S, McSorley M
Ann Emerg Med. 1983 Mar;12(3):153-8. doi: 10.1016/s0196-0644(83)80557-5.
This study compared the interpretation of pediatric roentgenograms by emergency department pediatricians and radiologists. Data were available from 532 of 600 children who had 564 radiographic studies during a six-week period: 217 examinations of the chest, 200 of the extremities, 74 of the skull, 35 of the abdomen, and 38 of miscellaneous structures. The emergency department pediatricians and the radiologists were in agreement in 91.1% of the cases. Among the 50 of 564 (8.9%) discordant studies, only seven (1.2%) required changes in therapy. The results attest to the accuracy of emergency department pediatricians in interpreting the usual types of films ordered in their department. However, this group specifically erred in the identification of subtle fractures and the detection of abnormalities incidental to the primary purpose for which the film was obtained. Future educational programs should address these areas of deficiency.
本研究比较了急诊科儿科医生和放射科医生对儿科X光片的解读情况。在六周内对600名儿童进行了564次放射学检查，其中532名儿童的数据可用：胸部检查217次，四肢检查200次，颅骨检查74次，腹部检查35次，其他部位检查38次。急诊科儿科医生和放射科医生在91.1%的病例中意见一致。在564次（8.9%）不一致的检查中，只有7次（1.2%）需要改变治疗方案。结果证明了急诊科儿科医生解读其所在科室常规类型X光片的准确性。然而，该组在识别细微骨折和检测与拍片主要目的无关的异常情况时出现了特定错误。未来的教育项目应针对这些不足之处。
