• Am J Emerg Med · Aug 2018

    Radiologic discrepancies in children with special healthcare needs in a pediatric emergency department.

    • Ara Festekjian, Karen Y Kwan, Todd P Chang, Hollie Lai, Margil Fahit, and Danica B Liberman.
    • Division of Emergency Medicine & Transport, Children's Hospital Los Angeles, 4650 Sunset Blvd. Mailstop 113, Los Angeles, CA 90027, United States. Electronic address: afestekjian@chla.usc.edu.
    • Am J Emerg Med. 2018 Aug 1; 36 (8): 1356-1362.

    BackgroundAfter-hours radiologic interpretation by nonradiology attendings or resident radiologists introduces the risk of discrepancies. Clinical outcomes following radiologic discrepancies among pediatric emergency department (ED) patients are poorly described. In particular, children with special healthcare needs (CSHCN), have more opportunities for discrepancies and potential consequences than non- CSHCN. Our objective was to determine the rates and types of radiologic discrepancies, and to compare CSHCN to non-CSHCN.MethodsFrom July 2014 to February 2015, all children who underwent a diagnostic imaging study at a free-standing children's ED were included. Data collected included radiologic studies - type and location - and clinical details - chief complaint and CSHCN type. Differences between preliminary reads and final pediatric radiology attending reads were defined as discrepancies, and categorized by clinical significance. Descriptive statistics, z-tests, and chi-square were used.ResultsOver 8months, 8310 visits (7462 unique patients) had radiologic studies (2620 CSHCN, 5690 non-CSHCN). A total of 198 (2.4%) radiologic discrepancies [56 (28.3%) CSHCN, 142 (71.7%) non-CSHCN] were found. Chief complaints for CSCHN were more often within the cardiac, pulmonary and neurologic systems (p<0.001 for each), whereas non-CSHCN presented with more trauma (p<0.001). The rates of discrepancies (CSHCN 2.1%, non- CSHCN 2.5%, p=0.3) and severity of clinical consequences (p=0.6) were not significantly different between CSHCN and non-CSHCN.ConclusionThough the frequency and type of radiologic studies performed between CSHCN and non-CSHCN were different, we found no significant difference in the rate of radiologic discrepancies or the rate of clinically significant radiologic discrepancies.Copyright © 2017 Elsevier Inc. All rights reserved.

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