• A Karagöz, E E Ünlüer, O Oyar, F E Topal, and F Topal.
• Department of Emergency Medicine, İzmir Çiğli Training Hospital, 35620, Çiğli/İzmir, Turkey. dr.akaragoz@hotmail.com.
• Eur J Trauma Emerg Surg. 2017 Jun 1; 43 (3): 287-292.

PurposeThe aim of this study is to determine the ability of emergency physicians' (EP) interpreting contrast-enhanced computed tomographies (CECTs) performed in patients diagnosed or suspected acute pancreatitis (AP), using the modified computed tomography severity index (MCTSI) scoring system.MethodsThis study was conducted in Training and Research Hospital's Emergency Department. From January 1, 2013 to April 30, 2016, patients whom performed CECT within 24 h of admission with diagnosis or suspicion of AP were reviewed retrospectively. One hundred eighteen patients were included in the study. Three-third-year EPs received education about CECT interpretation and MCTSI criteria. Each EP interpreted CECTs in a blinded manner. The EPs' performance of determining the CECTs with or without AP and scoring the CECTs with CTSI scoring system was investigated.ResultsThe agreement (weighted kappa) between the EPs and the radiologists for determining CECTs positive for AP was 0.932 (p < 0.001), 0.864 (p < 0.001) and 0.949 (p < 0.001) for EP1, EP2 and EP3, respectively. The agreement for MCTSI scores was 0.649 (p < 0.001), 0.588 (p < 0.001) and 0.734 (p < 0.001). These values showed a significant relationship between the EPs and radiologists.ConclusionsEPs can diagnose the AP on CECTs and score CECTs with MCTSI scoring system correctly.

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