关于儿童正常尾和尾炎的ED PoCUS视频培训数据集的观察者间协议
James W Tsung1, Maytal Firnberg2, Philip Sosa2
1Departments of Pediatrics and Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. jtsung@gmail.com.
The ultrasound journal
|August 6, 2024
概括
针对儿科急诊部 (ED) 护理点超声波 (PoCUS) 的教育视频数据集显示,对尾炎检测有适度的同意. 声学家的经验显著影响了观察者之间对可视化整个正常尾和尾炎的协议.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 儿科超声波 儿童超声波
背景情况:
- 教育视频数据集是培训急诊室 (ED) 护理点超声波 (PoCUS) 的宝贵工具.
- 创建了一个新的视频数据集,重点关注使用ED PoCUS的儿科患者的正常尾和尾炎.
- 该数据集旨在评估使用Cohen's Kappa对关键超声波发现的观察者间协议.
研究的目的:
- 评估教育视频数据集的实用性,以培训ED声学家-医生在儿科PoCUS中进行尾评估.
- 为了确定观察者之间关于使用精选的视频集识别正常尾和尾炎的协议.
- 分析声学家经验对PoCUS解释准确性的影响.
主要方法:
- 编辑了三组25个ED PoCUS视频,其中包括患有正常尾或急性尾炎的儿科患者.
- 四名ED超声波医生接受了正常尾视觉化的培训,随后对尾炎的检测进行了测试,包括尾炎或穿孔等并发症.
- 科恩的卡帕被计算为衡量观察者之间的协议,根据经验水平分层 (经验丰富的与新手) 与高级超声波专家相比.
主要成果:
- 总的来说,科恩的卡帕值在各种发现中从0.43到0.71不等,表明中度的同意.
- 在大多数类别中,与新手相比,经验丰富的超声波学家的观察者间一致性更高.
- 具体的卡帕值:任何正常的尾 (0.71),从头到眼睛的正常尾 (0.43),尾炎 (0.53),尾炎 (0.63) 和穿孔尾炎 (0.46).
结论:
- 开发的教育视频数据集是一种潜在的有效工具,用于培训ED PoCUS中的声学家-医生,用于儿科尾评估.
- 声学家的经验显著影响观察者之间的协议,特别是在可视化整个正常尾和检测尾炎时.
- 进一步验证和扩展数据集可以提高其在改善诊断准确性的实用性.
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