caa a22 4500 606171428 CHVBK 20210128100722.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10140-014-1279-0 doi (NATIONALLICENCE)springer-10.1007/s10140-014-1279-0 Comparing the brain CT scan interpretation of emergency medicine team with radiologists' report and its impact on patients' outcome [Elektronische Daten] [Mohammad-Taghi Talebian, Elahe Kavandi, Shervin Farahmand, Neda Shahlafar, Mona Arbab, Seyedhossein Seyedhosseini-Davarani, Amir Nejati, Shahram Bagheri-Hariri] Requesting non-enhanced brain CT scans for trauma and non-trauma patients in ER is very common. In this study, the impact of incorrect brain CT scan interpretations by emergency medicine team on patients' primary and secondary outcome was evaluated in the setting where neuroradiologist reports are not always available. During a 3-month period, 450 patients were enrolled and followed for 28days. All CT scans were interpreted by the emergency medicine team, and the patients were managed accordingly. Neuroradiologists' reports were considered as gold standard, and the patients were then grouped into the agreement or disagreement group. A panel of experts further evaluated the disagreement group and placed them in clinically significant and insignificant. The agreement rate between emergency medicine team and neuroradiologists was 86.4%. The inter-rater reliability between emergency team and neuroradiologists was substantial (kappa = 0.68) and statistically significant (p < 0.0001). Only five patients did not receive the necessary management, and among them, only one patient died, and 12 patients received unnecessary management including repeated CT scan, brain MRI, and lumbar puncture. Forty-one patients were managed clinically appropriate in spite of misinterpretation. A 28-day follow-up showed a mortality rate of 0.2%; however, expert panel believed the death of this patient was not related to the CT scan misinterpretation. We conclude that although the disagreement rate in this study was 13.6%, primary and secondary outcomes were not clinically jeopardized according to the expert panel idea and 28-day follow-up results. American Society of Emergency Radiology, 2014 Cranial CT scan interpretation nationallicence Emergency medicine nationallicence Outcome nationallicence Talebian Mohammad-Taghi Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut Kavandi Elahe Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut Farahmand Shervin Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut Shahlafar Neda Radiology Department, Tehran University of Medical Sciences, Tehran, Iran aut Arbab Mona Massachusetts General Hospital, Harvard Medical School, Boston, USA aut Seyedhosseini-Davarani Seyedhossein Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut Nejati Amir Prehospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran aut Bagheri-Hariri Shahram Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 261-268 1070-3004 22:3<261 2015 22 10140 https://doi.org/10.1007/s10140-014-1279-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-014-1279-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Talebian Mohammad-Taghi Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Kavandi Elahe Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Farahmand Shervin Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Shahlafar Neda Radiology Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Arbab Mona Massachusetts General Hospital, Harvard Medical School, Boston, USA aut NATIONALLICENCE 700 1- Seyedhosseini-Davarani Seyedhossein Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Nejati Amir Prehospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Bagheri-Hariri Shahram Emergency Medicne Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 261-268 1070-3004 22:3<261 2015 22 10140