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- Title
A recommended method in order to interpret chest x-rays for diagnosing small size pneumothorax.
- Authors
Ghane, Mohammad-Reza; Saburi, Amin; Javadzadeh, Hamid-Reza
- Abstract
Background: Pneumothorax can be a both progressive and life threatening disorder. In this survey we evaluated the diagnostic accuracy of a recommended method for the interpretation of chest X-Rays (CXRs) compared to the common method in diagnosis of iatrogenic Pneumothorax in an emergency department. Materials and Methods: We conducted a study on 100 CXRs (31 with the diagnosis of small size pneumothorax and 69 normal) of patients who have undergone the upper central venous catheterization. CXRs were interpreted by 5 Emergency Specialists (ESs) and 5 general practitioners (GPs) separately using the conventional and recommended method. Recommended method included a 90 degree rotation against the side of chateterization in addition to using a yellow shield as the background color . Presence of pneumothorax on the CXR was confirmed by a radiologist. Results: 64.5% of the CXRs with pneumothorax were correctly diagnosed by GPs and 87.7% by ESs with reutine method and 83.2% and 97.4% by recommended method, respectively (P.value<0.001). 96.8% out of all CXRs were correctly diagnosed by GPs and 99.4% by ESs by conventional method and 97.9% by GP and 99.7% by ES was correctly diagnosed using recommended method(P.value<0.001). None of the underlying variables including sex, age, underlying diseases, the side of intervention did not affect on the diagnostic accuracy in either groups (P.value>0.05). Conclusion: A significant raise was obtained in the diagnostic accuracy of CXR using the recommended method. This study can be a preliminary study to conduct further investigations in order to enhance the diagnostic accuracy of CXRs.
- Subjects
PNEUMOTHORAX; CHEST disease diagnosis; EMERGENCY medical services; IATROGENIC diseases; GENERAL practitioners
- Publication
International Journal of Critical Illness & Injury Science, 2013, Vol 3, Issue 1, p36
- ISSN
2229-5151
- Publication type
Article
- DOI
10.4103/2229-5151.109417