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Martino AM, Yeates EO, Grigorian A, Chinn J, Young H, Colin Escobar J, Glavis-Bloom J, Anavim A, Yaghmai V, Nguyen NT, Dolich M, Schubl SD, Goodman LF, Guner YS, Nahmias J. Comparing Accuracy of Night Radiology Interpretations for Pediatric Trauma: Radiology Residents Versus Attending Teleradiologists. Am Surg 2024:31348241248794. [PMID: 38655777 DOI: 10.1177/00031348241248794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
Background: Overnight radiology coverage for pediatric trauma patients (PTPs) is addressed with a combination of on-call radiology residents (RRs) and/or attending teleradiologists (ATs); however, the accuracy of these two groups has not been investigated for PTPs. We aimed to compare the accuracy of RRs vs AT interpretations of computed tomography (CT) scans for PTPs. Methods: Pediatric trauma patients (<18 years old) at a single level-I adult/level-II pediatric trauma center were studied in a retrospective analysis (3/2019-5/2020). Computed tomography scans interpreted by both RRs and ATs were included. Radiology residents were compared to ATs for time to interpretation (TTI) and accuracy compared to faculty attending radiologist interpretation, using the validated RADPEER scoring system. Additionally, RR and AT accuracies were compared to a previously studied adult cohort during the same time-period. Results: 42 PTPs (270 interpretations) and 1053 adults (8226 interpretations) were included. Radiology residents had similar rates of discrepancy (13.3% vs 13.3%), major discrepancy (4.4% vs 4.4%), missed findings (9.6% vs 12.6%), and overcalls (3.7% vs .7%) vs ATs (all P > .05). Mean TTI was shorter for RRs (55.9 vs 90.4 minutes, P < .001). Radiology residents had a higher discrepancy rate for PTPs (13.3% vs 7.5%, P = .01) than adults. Attending teleradiologists had a similar discrepancy rate for PTPs and adults (13.3% vs 8.9%, P = .07). Discussion: When interpreting PTP CT imaging, RRs had similar discrepancy rates but faster TTI than ATs. Radiology residents had a higher discrepancy rate for PTP CTs than RR interpretation of adult patients, indicating both RRs and ATs need more focused training in the interpretation of PTP studies.
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Affiliation(s)
- Alice M Martino
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Eric O Yeates
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Areg Grigorian
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Justine Chinn
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Hayley Young
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Jessica Colin Escobar
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Justin Glavis-Bloom
- Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA
| | - Arash Anavim
- Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA
| | - Vahid Yaghmai
- Department of Radiology, University of California Irvine Medical Center, Orange, CA, USA
| | - Ninh T Nguyen
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Matthew Dolich
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Sebastian D Schubl
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
| | - Laura F Goodman
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
- Department of Pediatric Surgery, Children's Hospital of Orange County, Orange, CA, USA
| | - Yigit S Guner
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
- Department of Pediatric Surgery, Children's Hospital of Orange County, Orange, CA, USA
| | - Jeffry Nahmias
- Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA
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