Evidence map›Paper›PMID 38253984›Full record

ReviewEmergency radiology2024

Assessment of discordance between radiologists and emergency physicians of RADIOgraphs among discharged patients in an emergency department: the RADIO-ED study.

Jean-Baptiste Bouillon-Minois, Céline Lambert, Frédéric Dutheil, Julien Raconnat, Mouna Benamor, Batiste Dalle, Maxime Laurent, Oluwaseun J Adeyemi, Agnès Lhoste-Trouilloud, Jeannot Schmidt

Abstract readReview
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In one paragraph

Review in Emergency radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jean-Baptiste Bouillon-MinoisUniversité Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, Emergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France. jbbouillon-minois@chu-clermontferrand.fr.ORCID http://orcid.org/0000-0002-6556-4187
Céline LambertBiostatistics Unit, DRCI, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0002-6459-4800
Frédéric DutheilUniversité Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, Occupational and Environmental Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0002-1468-6029
Julien RaconnatEmergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Mouna BenamorEmergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Batiste DalleEmergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Maxime LaurentEmergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Oluwaseun J AdeyemiRonald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York University Langone Health, New York, NY, 10016, USA.
Agnès Lhoste-TrouilloudRadiology Department, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Jeannot SchmidtUniversité Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, Emergency Medicine, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0003-3424-337X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe possibility to perform standard X-rays is mandatory for all French Emergency Department (ED). Initial interpretation is under the prescriber emergency physician-who continually works under extreme conditions, but a radiologist needs to describe a report as soon as possible. We decided to assess the rate of discordance between emergency physicians and radiologists among discharged patients.

methodsWe performed a monocentric study on an adult ED among discharged patients who had at least one X-ray during their consult. We used an automatic electronic system that classified interpretation as concordant or discordant. We review all discordant interpretation, which were classified as false negative, false positive, or more exam needed.

resultsFor 1 year, 8988 patients had 12,666 X-rays. We found a total of 742 (5.9%) discordant X-rays, but only 277 (2.2%) discordance had a consequence (new consult or exam not initially scheduled). We found some factors associated with discordance such as male sex, or ankle, foot, knee, finger, wrist, ribs, and elbow locations.

conclusionsOn discharged patients, using a systematic second interpretation of X-ray by a radiologist, we found a total of 2.2% discordance that had an impact on the initial care.

Indexed as

Emergency Service, HospitalPatient DischargeAdultFemaleHumansMaleRadiologistsEmergency departmentQualityRadiologySafetyX-ray

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.