Samojedny A, Ciupiński J
Zakładu Rentgenodiagnostyki Szpitala Wojewódzkiego Nr 2 w Rzeszowie.
Pol Merkur Lekarski. 1996 Dec;1(6):404-6.
Based on radiological examinations of bone system done for 1518 emergent, post-traumatic cases registered in an admission room, the authors have tried to perform a reliable analysis of the usefulness of the examinations. First of all, they have indicated that there were big differences between the requested x-ray examinations and their results. It has been noticed that the particular overstatement was employed during skull examinations especially for children, for which the detectability of changes in relation to the number of patients was equal to 7%. The more careful analysis of symptoms based on the more exact and precise physical examination could eliminate about 50% of x-ray examinations without any harm to patients and with an advantage to the hospital budget. It also seems that only a proper stimulus of such activity among clinicians and radiologists could give useful results.
基于对收治病房登记的1518例急诊创伤后病例进行的骨骼系统放射学检查，作者试图对这些检查的效用进行可靠分析。首先，他们指出所要求的X线检查与其结果之间存在很大差异。已经注意到，在颅骨检查中，尤其是对儿童，存在特别的夸大情况，相对于患者数量而言，变化的可检测性仅为7%。基于更准确和精确的体格检查对症状进行更仔细的分析，可以在不损害患者利益且有利于医院预算的情况下，减少约50%的X线检查。似乎只有临床医生和放射科医生之间进行适当的这种活动激励，才能产生有用的结果。
