Final-year medical students' perspective: a survey on the use of computed tomography in sepsis.

Autor: Pohlan J; Department of Radiology, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany. julian.pohlan@charite.de.; Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany. julian.pohlan@charite.de., Hernando MIO; Department of Radiology, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany. maria-isabel.opper-hernando@charite.de., Waschinsky R; Department of Radiology, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany., Biavati F; Department of Radiology, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany., Peters H; Dieter Scheffner Center for Medical Education, Office of Study Affairs, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Knauss S; Department of Neurology with Experimental Neurology, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Steinhagen PR; Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany.; Department of Gastroenterology and Hepatology, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Rubarth K; Institute for Biometry and Clinical Epidemiology, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany.; Institute of Medical Informatics, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Witham D; Department of Cardiology, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany., Dewey M; Department of Radiology, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universität Berlin, Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany.
Jazyk: angličtina
Zdroj: Insights into imaging [Insights Imaging] 2023 Nov 19; Vol. 14 (1), pp. 193. Date of Electronic Publication: 2023 Nov 19.
DOI: 10.1186/s13244-023-01538-y
Abstrakt: Objectives: To determine the perspective of final-year medical students on the use of computed tomography (CT) in patients with sepsis.
Methods: A total of 207 questionnaires were distributed to final-year medical students at a large university medical center, and 113 returned questionnaires met the criteria for inclusion in the analysis. Questions referred to sepsis guidelines, CT indications, and the use of contrast agents. Control variables included a level of practical experience as a final-year student (trimester of student's practical year) and previous radiological experience. Statistical hypothesis tests such as the Mann-Whitney U test and chi-square test were performed.
Results: The majority of participating students, 85% (n = 91/107), considered a Systemic Organ Failure Assessment (SOFA) score ≥ 2 as a diagnostic criterion for sepsis. The presence of ≥ 2 positive systemic inflammatory response syndrome (SIRS) criteria was considered relevant for diagnosing sepsis by 34% (n = 34/100). Ninety-nine percent (n = 64/65) of the participants who fully agreed with a SOFA score ≥ 2 being relevant for diagnosing sepsis would also use it as an indication for a CT scan. Seventy-six percent (n = 78/103) of the students rated a known severe allergic reaction to contrast agents as an absolute contraindication for its administration. Ninety-five percent (n = 78/82) considered radiation exposure as problematic in CT examinations, especially in repeat CTs.
Conclusion: Most final-year medical students were familiar with the sepsis criteria. Still, some referred to outdated diagnostic criteria. Participants saw the ability to plan further patient management based on CT as a major benefit. Most participants were aware of radiation as a risk of CT.
Critical Relevance Statement: More detailed knowledge of CT in septic patients should be implemented in the medical curriculum. Retraining of medical students could help increase student confidence potentially improving patient care.
Key Points: 1. Whereas the majority of final-year medical students were familiar with sepsis criteria, some referred to outdated diagnostic criteria. 2. Participants saw the ability to plan further patient management based on CT as a major benefit. 3. Most participants were aware of radiation as a risk of CT.
(© 2023. The Author(s).)
Databáze: MEDLINE
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