Best poster award: Accuracy of surgery residents' interpretation of computed tomography scans in trauma

SuEllen (Candy) Arentz, John A. Griswold, Ari Halldorsson, Frank Quattromani, Sharmila Dissanaike

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: We evaluated the accuracy of surgery residents in interpreting computed axial tomography (CT) scans of trauma patients as compared with attending radiologists. Methods: Residents listed injuries they identified on initial CT scans of trauma patients in a time-stamped computerized system before the official report becoming available. Head, chest, and abdomen/pelvis CT scans were included. We compared the accuracy of these reads with final radiology reports. Results: There were 84 injuries in 31 patients. Residents correctly identified 25 of 26 (96%) injuries to the head, 28 of 42 (67%) chest injuries, and 15 of 16 (94%) injuries to the abdomen and pelvis. The accuracy of resident reads of chest CT scans was lower (P = .035) than for other body areas. Radiologists' identified 23 of 26 (89%) head injuries, 38 of 42 (90%) chest injuries, and 14 of 16 (88%) injuries in the abdomen and pelvis CT scans. None of the missed injuries were life threatening or required immediate attention. Conclusions: Surgical residents accurately identify acute injuries on the CT scans of trauma victims.

Original languageEnglish (US)
Pages (from-to)809-812
Number of pages4
JournalAmerican Journal of Surgery
Volume196
Issue number6
DOIs
StatePublished - Dec 1 2008

Keywords

  • Surgical residency

ASJC Scopus subject areas

  • Surgery

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