Abstract:
OBJECTIVES:Although child abuse pediatricians are frequently asked to evaluate risk of abuse based on photographs, the effect of photographic quality on this process is presently unknown. Photographs of abused children are often taken by professionals without photographic training, and quality varies widely. This article reports the first study of the effect of image quality on clinical assessment from photographs. METHODS:A total of 120 images depicting 60 cutaneous lesions were selected for the study. Paired images of single lesions varied in quality of focus, exposure, or framing. Seventy medical and nursing professionals were recruited from the Internet listservs focusing on child abuse. Subjects evaluated the images for quality (1-9 scale), opined if the image was "inadequate for interpretation," and answered a clinical question about the type of lesion displayed. Accuracy was defined as concordance between the subject and the live examiner's written documentation. Adequacy was defined as the proportion of subjects that did not indicate that the photograph was inadequate for interpretation. RESULTS:Mean accuracy among subjects was 64% and ranged from 35% to 84%. Accuracy was not predicted by subject profession, experience, or self-rated computer skill. Image quality and adequacy were independently associated with increased accuracy. CONCLUSIONS:Higher-quality images improved accuracy. An examiner's impression that an image is adequate did not guarantee an accurate interpretation. Reliance on photographs alone is not sufficiently accurate in the assessment of cutaneous trauma.
journal_name
Pediatr Emerg Carejournal_title
Pediatric emergency careauthors
Melville JD,Lukefahr JL,Cornell J,Kellogg ND,Lancaster JLdoi
10.1097/PEC.0b013e31828e848esubject
Has Abstractpub_date
2013-05-01 00:00:00pages
607-11issue
5eissn
0749-5161issn
1535-1815journal_volume
29pub_type
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
pub_type: 共识发展会议,杂志文章,实务指引
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
pub_type: 杂志文章,评审
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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pub_type: 杂志文章,多中心研究
doi:10.1097/PEC.0000000000000935
更新日期:2016-12-01 00:00:00
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journal_title:Pediatric emergency care
pub_type: 杂志文章
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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abstract::An anonymous survey was conducted in order to examine compliance with universal precautions in the Department of Pediatrics at Loyola University Medical Center in Maywood, Illinois. Completed questionnaires were returned by 23 faculty members, 29 residents, and 22 medical students. Gloves were worn consistently during...
journal_title:Pediatric emergency care
pub_type: 杂志文章
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
pub_type: 杂志文章,评审
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journal_title:Pediatric emergency care
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