Effectiveness of a worksheet for diagnosing postmortem computed tomography in emergency departments.

Purpose: The aim of this study was to evaluate the effectiveness of a worksheet for diagnosing postmortem computed tomography (PMCT) in emergency departments (EDs).Materials and Methods: A total of 49 cases of clinically diagnosed nontraumatic deaths in the ED who underwent total body PMCT were enro...

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Publicado en:Japanese Journal of Radiology Vol. 29; no. 10; pp. 701 - 707
Autores principales: Takahashi N, Higuchi T, Shiotani M, Satou S, Hirose Y, Takahashi, Naoya, Higuchi, Takeshi, Shiotani, Motoi, Satou, Suguru, Hirose, Yasuo
Formato: research Journal Article
Publicado: Springer Nature Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2011
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      pub: Springer Nature
      place: New York, New York
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        atl: Effectiveness of a worksheet for diagnosing postmortem computed tomography in emergency departments.
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          Takahashi N
          Higuchi T
          Shiotani M
          Satou S
          Hirose Y
          Takahashi, Naoya
          Higuchi, Takeshi
          Shiotani, Motoi
          Satou, Suguru
          Hirose, Yasuo
        affil: Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata 950-1197, Japan
      sug:
        subj:
          Autopsy Methods
          Checklists Methods
          Checklists Standards
          Emergency Service
          Postmortem Changes
          Tomography, X-Ray Computed Methods
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Resuscitation, Cardiopulmonary
          Female
          Human
          Image Interpretation, Computer Assisted Methods
          Male
          Middle Age
          Observer Bias
          Prospective Studies
          Diagnostic Imaging Methods
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: The aim of this study was to evaluate the effectiveness of a worksheet for diagnosing postmortem computed tomography (PMCT) in emergency departments (EDs).Materials and Methods: A total of 49 cases of clinically diagnosed nontraumatic deaths in the ED who underwent total body PMCT were enrolled. PMCT images were prospectively evaluated by four radiologists: two radiologists with 1.5 and 3.5 years of residency and two board-certified radiologists with >20 years of experience. Readers were independently instructed to detect and interpret findings with reference to fatal findings, postmortem features, changes caused by cardiopulmonary resuscitation, and other pathological findings according to a worksheet that was composed of the possible findings previously reported. Agreement on detection and interpretation of findings between each reader was measured using Cohen's kappa coefficients.Results: For the detection of findings, there was substantial agreement among the four readers (kappa > 0.60, P < 0.0001). There was substantial (kappa > 0.60, P < 0.0001) and near-substantial (kappa = 0.60, P < 0.0001) agreement in the interpretation of the finding.Conclusion: Results of our study suggest equivalency on diagnosing PMCT regardless of the reader's level of experience. We conclude that the worksheet is useful for diagnosing PMCT in emergency departments.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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