PMID: 6536277Sep 1, 1984Paper

Why do accident and emergency doctors request X-rays?

Archives of Emergency Medicine
R A Warren, D G Ferguson

Abstract

A prospective study was carried out to analyse all X-rays requested from the three accident and emergency departments in Sheffield during one week. There were 3253 patients examined, of which 1028 (31.6%) were X-rayed, 1251 sets of X-rays being performed. Few X-rays (4.5%) were requested for medico-legal reasons. Skull X-rays were studied in particular detail. Only 5 (4.5%) of 112 films were subsequently reported as abnormal by the radiologist. The accident and emergency doctor's ability to predict X-ray outcome was not very good, their false positive rate being high at 21% while their false negative rate was low at 5.5%. This indicates that the accident and emergency doctors tended to be over cautious to compensate for their lack of experience.

References

Jun 16, 1979·British Medical Journal·G de Lacey, S Bradbrooke
Jun 16, 1979·British Medical Journal·G de LaceyJ Harper
May 1, 1977·The British Journal of Radiology·K T Evans
Oct 22, 1983·British Medical Journal·A D MendelowG Murray
Nov 27, 1982·British Medical Journal·A D MendelowB Jennett
Apr 1, 1980·The British Journal of Radiology·G de LaceyB Wignall

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Citations

Sep 6, 1986·British Medical Journal·M G DunlopR I Doull
Jun 1, 1986·Archives of Emergency Medicine·P SujitkumarD W Yates
Sep 1, 1986·Archives of Emergency Medicine·H R Guly
Mar 1, 1992·Archives of Emergency Medicine·M Gibson, N Zoltie
Aug 10, 2002·Clinical Radiology·P J RichardsI McCall

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