دورية أكاديمية
Clinicians’ interpretation of ventilation/perfusion (V/Q) lung scan reports: Where are we today?
| العنوان: | Clinicians’ interpretation of ventilation/perfusion (V/Q) lung scan reports: Where are we today? |
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| المؤلفون: | A Ismail, M L Wong, S Dhoodhat, M D T Vangu |
| المصدر: | African Journal of Thoracic and Critical Care Medicine, Pp 57-63 (2023) |
| بيانات النشر: | South African Medical Association, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Diseases of the respiratory system LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | pulmonary embolism, clinician’s interpretation, lung scan, Diseases of the respiratory system, RC705-779, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Background. Clinicians’ interpretation of lung scan reports will determine which further management decisions are taken when potentially fatal pulmonary embolism (PE) is suspected. Objectives. To assess current referring clinicians’ interpretation of the terminology used in ventilation/perfusion (V/Q) scan reports, whether this interpretation is affected by experience level, and how it affects clinical management decisions. Methods. This was a questionnaire-based cross-sectional study. Between September 2020 and May 2021, 300 questionnaires were distributed among clinicians who refer patients for V/Q scans. Results. Of the 162 clinicians who responded, 94% thought that there is >85% likelihood of PE or definitely PE present when a scan is reported as ‘high probability of PE’; 87% interpreted ‘low probability of PE’ as 70% of clinicians across all experience levels correctly interpreted the intended meaning of probability categories according to the Modified Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) II criteria. Of the respondents, 77% agreed that clinically significant PE is ruled out by a normal scan. Further investigation for inconclusive findings, features of parenchymal lung disease and cardiomegaly were selected by 72%, 93% and 98% of clinicians, respectively. Conclusion. The findings of this study regarding high-probability scan results were in line with existing literature on lung scan report interpretation. However, our findings regarding low-probability scan results and negative V/Q scan specificity contrasted with the findings in these articles, suggesting that clinicians are now more familiar with lung scan interpretation guidelines. Experience level did not significantly affect interpretation of reports. Although most clinicians agreed that a negative scan excludes clinically significant PE, two-thirds of them would still subject the patient to further unnecessary investigations to exclude PE. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2617-0191 2617-0205 |
| Relation: | https://samajournals.co.za/index.php/ajtccm/article/view/1350; https://doaj.org/toc/2617-0191; https://doaj.org/toc/2617-0205 |
| DOI: | 10.7196/AJTCCM.2023.v29i2.271 |
| URL الوصول: | https://doaj.org/article/c6b54f3ee2664098bec87ebc84c66b73 |
| رقم الأكسشن: | edsdoj.6b54f3ee2664098bec87ebc84c66b73 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26170191 26170205 |
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| DOI: | 10.7196/AJTCCM.2023.v29i2.271 |