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Smith CB, Barrett TW, Berger CL, Berger CL, Zhou C, Thurman RJ, Wrenn KD: Prediction of blunt traumatic injury in high-acuity patients: bedside examination vs. computed tomography. Am J Emerg Med 2011, 29:1–10.PubMedCrossRef 15. Hunter TB, Krupinski EA, Hunt KR, Erly WK: Emergency department coverage by academic department of radiology.

Acad Radiol 2000, 7:165–170.PubMedCrossRef 16. Torreggiani WC, Nicolaou S, Lyburn ID, Harris AC, Buckley AR: Emergency radiology in Canada: a selleck chemicals llc national survey. Can Assoc Radiol J 2002, 53:160–167.PubMed 17. Petinaux B, Bhat R, Boniface K, Aristizabal J: Accuracy of radiographic readings in the emergency department. Am J Emerg Med 2011, 29:18–25.PubMedCrossRef 18. Gray HR: Diagnostic errors ARN-509 in vitro in an accident and emergency department. Emerg Med J 2001, 18:263–269.CrossRef 19. Keijzers G, Sithirasenan V: The effect of a chest imaging lecture on emergency

department doctors’ ability to interpret chest CT images: a randomized study. Europ J Emerg Med 2012, 19:40–45.CrossRef 20. Saketkhoo DD, Bhargavan M, Sunshine JH, Forman HP: Emergency department image interpretation services at private community hospitals. Radiology 2004, 231:190–197.PubMedCrossRef Competing interests The authors declare that they have no competing interests. Authors’ contributions selleck YI designed this study and obtained approval from the ethics committee and cooperation from the radiology department. CT supervised the conduction of the study. TS, CN, and YT managed the data, including quality control. JS and AH provided statistical advice regarding the study design and analyzed the data. YI drafted the manuscript,

and all authors contributed substantially to its revision. YI takes responsibility for the study as a whole. Editorial assistance was provided by Edanz, a professional editing company. All authors read and approved Adenosine the final manuscript.”
“Introduction Intra-abdominal infections (IAIs), encompassing a wide spectrum of pathological conditions from uncomplicated appendicitis to fecal peritonitis, are a common cause of morbidity worldwide. IAIs are defined as complicated (cIAIs) when infection extends beyond the affected hollow viscus into the peritoneal space, causing either localized or diffuse peritonitis [1]. In spite of improvements in patient care, therapeutic failure still occurs in patients with community-acquired (CA) cIAIs [2–5], highly impacting in-hospital resource consumption [2, 5, 6]. In early European series, patients with community-acquired cIAIs who clinically failed had significantly longer length of hospital stay and incurred significantly higher inpatient charges than those who were treated successfully [2, 6]. More recently, the economic rebound of clinical failure has been investigated in a large US multi-institutional database of 6056 patients with cIAIs, showing an additional 4.6 days spent in hospital and inpatient charges of $6368 when clinical failure occurred [5].

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