The efficacy of preliminary clinical evaluation for emergency department chest radiographs with trauma presentations in pre- and post-training situations

Stevens, B and Thompson, JD ORCID: https://orcid.org/0000-0002-4786-7379 2022, 'The efficacy of preliminary clinical evaluation for emergency department chest radiographs with trauma presentations in pre- and post-training situations' , Radiography, 28 (4) , pp. 1122-1126.

[img] PDF - Accepted Version
Restricted to Repository staff only until 11 September 2023.
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (484kB) | Request a copy

Abstract

Introduction The chest X-ray (CXR) is the most frequently performed radiographic examination. This study evaluates radiographers’ ability to localise traumatic CXR pathology and provide a preliminary clinical evaluation (PCE) for these cases. Methods This observer study was performed in a district general hospital in the United Kingdom (UK). A 58-case image bank was used with 20 positive cases. Participants were awarded a maximum of three points, based on abnormality recognition and descriptive accuracy. Localisation data were recorded with ROCView. Training was delivered via short online recorded tutorials covering an introduction of a systematic search strategy for CXR, how to recognise the common abnormalities covered in the tests, how to structure a PCE and multiple practice cases to review at participants’ own pace. Pre- and post-training data was recorded. Results Nine participants completed the study. Overall, pooled sensitivity remained consistent (78.9%–78.8%) following training, specificity and accuracy showed improvement of 79.0%–89.9% and 78.9%–86.0% respectively. An increase in the number of correct localisations and PCE scores were also evident. Participants performed better at correctly identifying a pneumothorax compared to skeletal abnormalities. Conclusion Improvements in performance were evident for most participants’ abnormality localisations and PCE scores, following the training intervention. The study highlighted areas of CXR PCE that may require further training, such as detecting superimposed or subtle abnormalities. Implications for practice This study provides additional support for the development of PCE systems in additional areas of imaging practice.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Radiography
Publisher: Elsevier
ISSN: 1078-8174
Depositing User: JD Thompson
Date Deposited: 14 Sep 2022 14:32
Last Modified: 14 Sep 2022 14:45
URI: https://usir.salford.ac.uk/id/eprint/64629

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)

Downloads

Downloads per month over past year