Chest radiography in intensive care: an irreplaceable survey?

Purpose This study evaluated the impact and value of bedside chest X-ray in intensive care units. Materials and methods This observational study considered the bedside chest X-rays performed on 258 consecutive patients (160 men, 98 women; mean age, 58 years) admitted to intensive care units. Stratif...

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Bibliographic Details
Published in:Radiologia medica 2013-08, Vol.118 (5), p.744-751
Main Authors: Palazzetti, V., Gasparri, E., Gambini, C., Sollazzo, S., Saric, S., Salvolini, L., Giovagnoni, A.
Format: Article
Language:English
Subjects:
Chest Radiology
Chi-Square Distribution
Critical Illness
Diagnostic Radiology
Female
Humans
Imaging
Intensive Care Units
Interventional Radiology
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Point-of-Care Systems
Radiography, Thoracic - statistics & numerical data
Radiologia Toracica
Radiology
Retrospective Studies
Ultrasound
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Summary:Purpose This study evaluated the impact and value of bedside chest X-ray in intensive care units. Materials and methods This observational study considered the bedside chest X-rays performed on 258 consecutive patients (160 men, 98 women; mean age, 58 years) admitted to intensive care units. Stratification of patients according to the reason for hospitalisation and analysis of the reasons for chest X-ray examinations were performed to assess the diagnostic efficacy (DE). Results DE for chest X-rays was 84.5%, with 15.5% of tests remaining unchanged over time. Patient stratification by disease indicated that the DE was 85.27% in transplant, 90.79% in postoperative care after general surgery, 83.89% in respiratory failure, 82.42% in polytrauma, 90.54% in postoperative care after neurosurgery, 86.6% in postoperative care after vascular surgery, 83.3% in neurological conditions and 93.4% in other diseases. Conclusions Chest X-rays performed at the bedside are the most widely used imaging method in the follow-up of critically ill patients. DE is approximately 84.5%. Radiologists should maintain familiarity with the interpretation of this examination.
ISSN:0033-8362
1826-6983
DOI:10.1007/s11547-012-0886-6