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Master Thesis

Évaluation de la concordance entre la lecture de l’urgentiste et du radiologue pour les radiographies en traumatologie des membres aux urgences du CH de Saint Benoit

Abstract : Background: At Saint Benoit hospital emergency care department (ECD), radiographies prescribed by emergency physicians (EP) are interpreted by the radiologists once the patient is already out. This study main goal is to analyze the agreement between the diagnosis of the EP and the radiologist. It analyzes also the consequence of the discrepancies for the patient and also evaluate indirectly the protocol at the ECD Method : This is a retrospective monocentric study realized at Saint Benoit hospital ECD between 07/01/2017 and 08/31/2017. Every patient who consulted for a traumatology purpose and have been prescribed a radiography has been included. Informatic files have allowed us to evaluate the agreement between EP and radiologists and to follow up patients once they were back home. We used Cohen’s kappa in order to measure the agreement Results: 534 files have been included, among them, 26 of them were discordant, 4,7% of all the files. 19 false positive and 7 false negative. Cohen’s kappa score is 0,8694. There are significantly more discordant foot radiographies in comparison with every other radiographies. We find significantly more discrepancies on the under 15 years old population in comparison with over 15 years old population. No discordant file has led to any modification or any consequence for any patient. Conclusion: The agreement between the EP and the radiologist is almost perfect according to Cohen’s kappa definition. Nevertheless, under 15 years old and foot radiographies are risk factors of discrepancies. It could be interesting to be more careful on those files during the interpretation process by the EP.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02983737
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Submitted on : Friday, October 30, 2020 - 11:23:40 AM
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  • HAL Id : dumas-02983737, version 1

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Antoine Szwarc-Ronda. Évaluation de la concordance entre la lecture de l’urgentiste et du radiologue pour les radiographies en traumatologie des membres aux urgences du CH de Saint Benoit. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02983737⟩

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