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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 3/2017

01-06-2017 | Original Article

The ability of emergency physicians to diagnose and score acute pancreatitis on computed tomography

Authors: A. Karagöz, E. E. Ünlüer, O. Oyar, F. E. Topal, F. Topal

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2017

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Abstract

Purpose

The aim of this study is to determine the ability of emergency physicians’ (EP) interpreting contrast-enhanced computed tomographies (CECTs) performed in patients diagnosed or suspected acute pancreatitis (AP), using the modified computed tomography severity index (MCTSI) scoring system.

Methods

This study was conducted in Training and Research Hospital’s Emergency Department. From January 1, 2013 to April 30, 2016, patients whom performed CECT within 24 h of admission with diagnosis or suspicion of AP were reviewed retrospectively. One hundred eighteen patients were included in the study. Three-third-year EPs received education about CECT interpretation and MCTSI criteria. Each EP interpreted CECTs in a blinded manner. The EPs’ performance of determining the CECTs with or without AP and scoring the CECTs with CTSI scoring system was investigated.

Results

The agreement (weighted kappa) between the EPs and the radiologists for determining CECTs positive for AP was 0.932 (p < 0.001), 0.864 (p < 0.001) and 0.949 (p < 0.001) for EP1, EP2 and EP3, respectively. The agreement for MCTSI scores was 0.649 (p < 0.001), 0.588 (p < 0.001) and 0.734 (p < 0.001). These values showed a significant relationship between the EPs and radiologists.

Conclusions

EPs can diagnose the AP on CECTs and score CECTs with MCTSI scoring system correctly.
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Metadata
Title
The ability of emergency physicians to diagnose and score acute pancreatitis on computed tomography
Authors
A. Karagöz
E. E. Ünlüer
O. Oyar
F. E. Topal
F. Topal
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 3/2017
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-016-0743-9

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