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Accuracy of radiographers red dot or triage of accident and emergency radiographs in clinical practice: a systematic review

Brealey, S., Scally, A., Hahn, S., Thomas, N., Godfrey, C. and Crane, S. (2006) Accuracy of radiographers red dot or triage of accident and emergency radiographs in clinical practice: a systematic review. Clinical Radiology, 61 (7). pp. 604-615. ISSN 0009-9260

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Abstract

AIM:

To determine the accuracy of radiographers red dot or triage of accident and emergency (A&E) radiographs in clinical practice.

MATERIALS AND METHODS

Eligible studies assessed radiographers red dot or triage of A&E radiographs in clinical practice compared with a reference standard and provided accuracy data to construct 2×2 tables. Data were extracted on study eligibility and characteristics, quality, and accuracy. Pooled sensitivities and specificities and chi-square tests of heterogeneity were calculated.

RESULT

Three red dot and five triage studies were eligible for inclusion. Radiographers' red dot of A&E radiographs in clinical practice compared with a reference standard is 0.87 [95% confidence interval (CI) 0.85–0.89] and 0.92 (0.91–0.93) sensitivity and specificity, respectively. Radiographers' triage of A&E radiographs of the skeleton is 0.90 (0.89–0.92) and 0.94 (0.93–0.94) sensitivity and specificity, respectively; and for chest and abdomen is 0.78 (0.74–0.82) and 0.91 (0.88–0.93). Radiographers' red dot of skeletal A&E radiographs without training is 0.71 (0.62–0.79) and 0.96 (0.93–0.97) sensitivity and specificity, respectively; and with training is 0.81 (0.72–0.87) and 0.95 (0.93–0.97). Pooled sensitivity and specificity for radiographers without training for the triage of skeletal A&E radiographs is 0.89 (0.88–0.91) and 0.93 (0.92–0.94); and with training is 0.91 (0.88–0.94) and 0.95 (0.93–0.96).

CONCLUSION

Radiographers red dot or triage of A&E radiographs in clinical practice is affected by body area, but not by training.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Health Sciences (York)
Depositing User: York RAE Import
Date Deposited: 12 Jun 2009 14:41
Last Modified: 12 Jun 2009 14:41
Published Version: http://dx.doi.org/10.1016/j.crad.2006.01.015
Status: Published
Publisher: Elsevier
Identification Number: 10.1016/j.crad.2006.01.015
URI: http://eprints.whiterose.ac.uk/id/eprint/5857

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