NDLI: Accuracy of the first interpretation of early brain CT images for predicting the prognosis of post-cardiac arrest syndrome patients at the emergency department

Content Provider	Springer Nature : BioMed Central
Author	Nishikimi, Mitsuaki Ogura, Takayuki Matsui, Kota Takahashi, Kunihiko Fukaya, Kenji Liu, Keibun Morita, Hideo Nakamura, Mitsunobu Matsui, Shigeyuki Matsuda, Naoyuki
Abstract	Background Early brain CT is one of the most useful tools for estimating the prognosis in patients with post-cardiac arrest syndrome (PCAS) at the emergency department (ED). The aim of this study was to evaluate the prognosis-prediction accuracy of the emergency physicians’ interpretation of the findings on early brain CT in PCAS patients treated by targeted temperature management (TTM). Methods This was a double-center, retrospective, observational study. Eligible subjects were cardiac arrest patients admitted to the intensive care unit (ICU) for TTM between April 2011 and March 2017. We performed the McNemar test to compare the predictive accuracies of the interpretation by emergency physicians and radiologists and calculated the kappa statistic for determining the concordance rate between the interpretations by these two groups. Results Of the 122 eligible patients, 106 met the inclusion criteria for this study. The predictive accuracies (sensitivity, specificity) of the interpretations by the emergency physicians and radiologists were (0.34, 1.00) and (0.41, 0.93), respectively, with no significant difference in either the sensitivity or specificity as assessed by the McNemar test. The kappa statistic calculated to determine the concordance between the two interpretations was 0.66 (0.48–0.83), which showed a good conformity. Conclusions The emergency physicians’ interpretation of the early brain CT findings in PCAS patients treated by TTM was as reliable as that of radiologists, in terms of prediction of the prognosis.
Related Links	https://jintensivecare.biomedcentral.com/counter/pdf/10.1186/s40560-018-0296-6.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	20520492
DOI	10.1186/s40560-018-0296-6
Journal	Journal of Intensive Care
Issue Number	1
Volume Number	6
Language	English
Publisher	BioMed Central
Publisher Date	2018-04-25
Access Restriction	Open
Subject Keyword	Intensive Critical Care Medicine Cardiac arrest Post-cardiac arrest syndrome Neurological prognosis Brain CT scan Targeted temperature management
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine
Journal Impact Factor	3.8/2023
5-Year Journal Impact Factor	4.6/2023

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