지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.4 No.4
- 발행연도
- 2017.1
- 수록면
- 222 - 231 (10page)
이용수
초록· 키워드
오류제보하기
Objective To assess the learning curve of novice residents in diagnosing acute appendicitis using abdominal computed tomography (CT) scans. Methods This prospective observational study was conducted within a 4-month period from March 1 to June 30, 2015. After CT scans for right lower quadrant pain or similar acute abdomen were evaluated, postgraduate year 1 (PGY-1) residents completed an interpretation checklist. The primary outcome was evaluation of the learning curve for competent CT scan interpretation under suspicion of acute appendicitis. Secondary outcomes were cumulative numbers of accurate abdominal CT interpretations regardless of initial clinical impression and training period. Results PGY-1 residents recorded a total of 230 interpretation checklists. There were 53, 51, 46, 44, and 36 checklists recorded by individual residents and 92, 92, 91, 91, and 61 respective training days in the emergency department, excluding rotation periods in other departments. After 16 to 20 interpretations of abdominal CT scans performed under suspicion of acute appendicitis, the residents could diagnose acute appendicitis with more than 95% accuracy. Overall, the sensitivity and specificity for diagnosing acute appendicitis were 97% (95% confidence interval, 94 to 100) and 83% (95% confidence interval, 80 to 87), respectively. After 61 to 80 abdominal CT interpretations regardless of suspicion of acute appendicitis and after 41 to 50 days in training, PGY-1 emergency department residents could diagnose acute appendicitis with more than 95% accuracy. Conclusion PGY-1 residents require 16 to 20 checklist interpretations to acquire acceptable abdominal CT interpretation. After performing 61 to 80 CT scans regardless of suspicion of acute appendicitis, they could diagnose acute appendicitis with acceptable accuracy.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Tsushima Y / 2002 / Effect of contrast-enhanced computed tomography on diagnosis and management of acute abdomen in adults / Clin Radiol 57:507~513
Rosen MP / 2000 / Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain / AJR Am J Roentgenol 174:1391~1396
Priola AM / 2013 / Accuracy of 64-row multidetector CT in the diagnosis of surgically treated acute abdomen / Clin Imaging 37:902~907
Addiss DG / 1990 / The epidemiology of appendicitis and appendectomy in the United States / Am J Epidemiol 132:910~925
Birnbaum BA / 1998 / CT and sonographic evaluation of acute right lower quadrant abdominal pain / AJR Am J Roentgenol 170:361~371
Rosen MP / 2000 / Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain / AJR Am J Roentgenol 174:1391~1396
Priola AM / 2013 / Accuracy of 64-row multidetector CT in the diagnosis of surgically treated acute abdomen / Clin Imaging 37:902~907
Addiss DG / 1990 / The epidemiology of appendicitis and appendectomy in the United States / Am J Epidemiol 132:910~925
Birnbaum BA / 1998 / CT and sonographic evaluation of acute right lower quadrant abdominal pain / AJR Am J Roentgenol 170:361~371
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