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Original Research

Open Access

Assessment of pediatric emergency physicians' interpretation of brain non-contrast computed tomography: a prospective study in a tertiary care center

  • Hashim M. Bin Salleeh1,*,
  • Mohammed A. Alrowayshed1
  • Anas A. Althenayan1
  • Ahmed Mohammed A Alkhars2
  • Rakan S. Shaheen2
  • Zohair Al Aseri3,4,5

1Department of Emergency Medicine, College of Medicine, King Saud University, 11461 Riyadh, Saudi Arabia

2College of Medicine, Dar Al Uloom University, 13314 Riyadh, Saudi Arabia

3Department of Emergency Medicine and Critical Care, College of Medicine, King Saud University, 11461 Riyadh, Saudi Arabia

4Department of Clinical Sciences, College of Medicine and Riyadh Hospital, Dar Al Uloom University, 13314 Riyadh, Saudi Arabia

5Therapeutic Deputyship, Ministry of Health, 12382 Riyadh, Saudi Arabia

DOI: 10.22514/sv.2024.077

Submitted: 28 December 2023 Accepted: 12 March 2024

Online publish date: 19 June 2024

*Corresponding Author(s): Hashim M. Bin Salleeh E-mail: hbinsalleeh@ksu.edu.sa

Abstract

This study aims to prospectively assess the proficiency of pediatric emergency physicians (PEPs) in interpreting non-contrast computed tomography (NCCT) brain images. A prospective investigation was conducted at the pediatric emergency unit of King Saud University Medical City (KSUMC), Saudi Arabia, over a one-year period. All patients undergoing plain brain NCCT during this period were enrolled. An independent attending neuroradiologist and two certified pediatric emergency consultants compared the interpretations of PEPs with the official final reports issued by the on-call radiologist. A total of 202 pediatric patients were examined, all under 14 years of age, with a mean age of 4.8 ± 3.6 years. Trauma was the predominant presenting complaint (127 patients, 62.9%), followed by seizures (28 patients, 13.9%). The primary indication for brain NCCT was to detect intracranial bleeding, identified in 134 patients (66.3%), followed by a space-occupying lesion in 22 patients (10.9%). Additionally, hydrocephalus with elevated intracranial pressure (ICP) was observed in 20 patients (9.9%). The overall agreement between PEPs and radiologists, based on Landis and Koch benchmark classification, was moderate (Kappa = 0.578), with an accuracy of 82.18%. The overall accuracy of brain NCCT interpretation by PEPs compared to radiologists was found to be moderate. Further multicenter studies in pediatric emergency settings with larger sample sizes are warranted to validate these findings.


Keywords

Emergency medicine; Computed tomography; Pediatric emergency physician; Radiologist


Cite and Share

Hashim M. Bin Salleeh,Mohammed A. Alrowayshed,Anas A. Althenayan,Ahmed Mohammed A Alkhars,Rakan S. Shaheen,Zohair Al Aseri. Assessment of pediatric emergency physicians' interpretation of brain non-contrast computed tomography: a prospective study in a tertiary care center. Signa Vitae. 2024.doi:10.22514/sv.2024.077.

References

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