Acute Respiratory Distress Syndrome Clinical Trial
Official title:
Interobserver Variation in Applying a Radiographic Definition for ARDS: Impact of a Training Set of Berlin ARDS Definition
The original American-European Consensus Conference (AECC) definition of Acute Respiratory
Distress Syndrome (ARDS) required bilateral infiltrates consistent with pulmonary edema on
frontal chest X-ray (CXR), but there is poor inter-observer reliability in interpreting CXR
using this definition among intensivists and radiologists.
As a result, the newly published Berlin definition of ARDS specified that the CXR criterion
should include bilateral opacities consistent with pulmonary edema not fully explained by
effusions, lobar/lung collapse, or nodules/masses on CXR.
In order to improve inter-observer agreement, the panel have also developed a set of CXRs
judged as consistent, inconsistent, or equivocal for the diagnosis of ARDS.
The objective of this study is to investigate the impact of this training set on
inter-observer reliability in applying the radiographic definition for ARDS.
The study is composed of 3 phases:
Phase 1: All participants will be required to independently interpret a set of 12 CXRs, as
provided by the consensus panel. The possible radiographic interpretations include
consistent, inconsistent, or equivocal for the diagnosis of ARDS.
Phase 2: Training materials adapted according to the recently published Berlin definition of
ARDS, with its expanded rationale and interpretation of all 12 CXRs, will be sent to all
participants.
Phase 3: The same set of 12 CXRs, in different order, will be sent to all participants for
interpretation for the second time.
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Observational Model: Cohort, Time Perspective: Prospective
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