Faculty
Department
Year of Publication
Publication Type
Abstract
Chest radiography is an important diagnostic method in evaluating thoracic diseases, especially among elderly patients where cardiovascular and pulmonary disorders are prevalent. However, the extent to which radiological findings correspond with clinicians’ preliminary diagnoses varies. This study assessed the correspondence between clinical and radiological diagnoses in chest X-ray examinations among elderly patients at the University of Benin Teaching Hospital.
A retrospective descriptive study was conducted using 204 chest X-ray records of patients aged 60 years and above. Data on age, gender, clinical diagnosis, radiological findings, and correspondence (Yes/No) were extracted and analyzed using SPSS version 29. Descriptive statistics summarized the data, while chi-square and independent-samples t-tests determined associations at a significance level of p < 0.05. The mean age of patients was 64.98 ± 5.20 years, with 138 (69.3%) females and 61 (30.7%) males. The most frequent clinical diagnosis was hypertension 37 (18.1%), while normal chest 65 (31.9%) was the commonest radiological finding. 130 (65.7%) of cases showed correspondence between clinical and radiological diagnoses. A significant association existed between clinical and radiological correspondence (χ² = 122.77, df = 83, p = 0.003). The t-test showed a significant difference in mean age between corresponding and non-corresponding groups (t(192) = -2.20, p = 0.029). A moderate to high diagnostic correspondence (65.7%) was observed, indicating that chest radiography remains valuable in confirming or excluding thoracic pathology among elderly patients. Diagnostic accuracy was higher among younger elderly patients (60–65 years) compared to those above 70 years
A retrospective descriptive study was conducted using 204 chest X-ray records of patients aged 60 years and above. Data on age, gender, clinical diagnosis, radiological findings, and correspondence (Yes/No) were extracted and analyzed using SPSS version 29. Descriptive statistics summarized the data, while chi-square and independent-samples t-tests determined associations at a significance level of p < 0.05. The mean age of patients was 64.98 ± 5.20 years, with 138 (69.3%) females and 61 (30.7%) males. The most frequent clinical diagnosis was hypertension 37 (18.1%), while normal chest 65 (31.9%) was the commonest radiological finding. 130 (65.7%) of cases showed correspondence between clinical and radiological diagnoses. A significant association existed between clinical and radiological correspondence (χ² = 122.77, df = 83, p = 0.003). The t-test showed a significant difference in mean age between corresponding and non-corresponding groups (t(192) = -2.20, p = 0.029). A moderate to high diagnostic correspondence (65.7%) was observed, indicating that chest radiography remains valuable in confirming or excluding thoracic pathology among elderly patients. Diagnostic accuracy was higher among younger elderly patients (60–65 years) compared to those above 70 years
Supervisor(s)
co-supervisor