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- W2319180930 abstract "ABSTRACT Background Emergency department (ED) care often requires radiographs for denitive diagnosis. In many hospitals the primary review of examinations is by requesting physicians. We studied the importance of having a radiologist assess tests, by assessing diagnostic disagreement. Study design Retrospective, observational, involving victims of trafc injuries (August 2008). Trauma routine X-rays were analyzed by treating surgeon and by the radiologist at the same hospital. Comparison and review of their reports. Results Fourty-seven lesions were found on cervical, chest and pelvis radiographs. Twenty-three were considered as resulting from trafc injury. Other 24 were chronic injuries or ndings with no connection to the mechanism of trauma. Regarding the rst group, surgeons identied 19 lesions (82.61%), while the radiologist found 22 (95.66%). There was one lesion described only by the doctor on duty, but not by the radiologist (rib fracture). Four lesions were not identied by the ED surgeons, but only by the radiologist (two fractures: one of the upper limb and another of the clavicle; a pneumothorax and a subcutaneous emphysema). There was a discrepancy of 13.05% between the diagnosed injuries. All lesions misdiagnosed were found on chest X-rays. Conclusion We found a significant rate of radiographic injuries caused by trauma misdiagnosed by the on-duty doctor (13.05%). This nding points to the need for an on-duty radiologist for evaluation of tests in the emergency department. How to cite this article Nasr A, Nakano IT, Rigolini AVB, Kato GMP, de Abreu Reis PGT. Radiologist vs Surgeon: Misdiagnoses in Radiologic Evaluation by On-duty Surgeons in the Emergency Room. Panam J Trauma Critical Care Emerg Surg 2012;1(1):38-43." @default.
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- W2319180930 date "2012-01-01" @default.
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- W2319180930 title "Radiologist vs Surgeon: Misdiagnoses in Radiologic Evaluation by On-duty Surgeons in the Emergency Room" @default.
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- W2319180930 doi "https://doi.org/10.5005/jp-journals-10030-1009" @default.
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