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

S. Brealey, A. Scally, S. Hahn, N. Thomas, C. Godfrey, S. Crane

Research output: Contribution to journalLiterature reviewpeer-review

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 X 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. (c) 2006 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)604-615
Number of pages12
JournalClinical Radiology
Volume61
Issue number7
DOIs
Publication statusPublished - Jul 2006

Keywords

  • FILM READING PERFORMANCE
  • RADIOLOGISTS
  • DEPARTMENTS
  • BIAS

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