ArticleEmergency radiology2005
Agreement between emergency physician diagnosis and radiologist reports in patients discharged from an emergency department with community-acquired pneumonia.
Article in Emergency radiology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 46 citations in OpenAlex.
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- Effectiveness of an Artificial Intelligence Software for Limb Radiographic Fracture Recognition in an Emergency Department.Journal of clinical medicine · 2024Article
- Delayed diagnosis of pneumonia in the emergency department: factors associated and prognosis.Frontiers in medicine · 2023Article
- Association of Artificial Intelligence-Aided Chest Radiograph Interpretation With Reader Performance and Efficiency.JAMA network open · 2022Article
- Radiograph Interpretation Discrepancies in a Community Hospital Emergency Department.The western journal of emergency medicine · 2019Article
- Characteristics and Outcomes of Patients Discharged Home from an Emergency Department with AKI.Clinical journal of the American Society of Nephrology : CJASN · 2017Article
- Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons.Human vaccines & immunotherapeutics · 2017Article
- The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study.Annals of clinical microbiology and antimicrobials · 2014Article
- Revisiting signs, strengths and weaknesses of Standard Chest Radiography in patients of Acute Dyspnea in the Emergency Department.Journal of thoracic disease · 2012Article
- Accuracy of chest radiograph interpretation by emergency physicians.Emergency radiology · 2009Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To evaluate the level of concurrence between radiologist reports and the diagnosis of community-acquired pneumonia (CAP) in patients discharged from an emergency department (ED), a retrospective chart audit of patients discharged with a diagnosis of 'pneumonia' or 'possible pneumonia' from the ED during a 2-year period was conducted. Emergency physician (EP) and radiology report (RR) diagnoses were categorized as 'pneumonia', 'possible pneumonia', 'non-pneumonia' and 'normal', and categories from each were compared. 815 charts were analyzed. Of 671 EP diagnoses of 'pneumonia', 304 (45.3%) RR's reported 'pneumonia' and 82 (12.2%), 'possible pneumonia'. Of 815 EP diagnoses of 'pneumonia' or 'possible pneumonia', 426 (52.3%) RRs were in agreement, while 216(26.5%) were of diagnoses other than pneumonia and 173 (21.1%) were read as normal. EPs and radiologists frequently disagree on whether a patient has pneumonia or not. Perhaps it is time to revisit the gold standard status of plain chest X-ray.
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