Value of Computed Tomography of the Chest in Subjects With ARDS: A Retrospective Observational Study.
BACKGROUND: The value of computed tomography (CT) of the chest in the management of patients with ARDS is poorly defined. The aim of this study was to assess the clinical utility of thoracic CT scans in subjects with ARDS using the Berlin definition. METHODS: This was a retrospective, observational...
| Publicado en: | Respiratory Care Vol. 61; no. 3; pp. 316 - 324 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Mar2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113452128&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113452128 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Mar2016 vid: 61 iid: 3 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 113452128 113452128 113452128 10.4187/respcare.04308 113452128 ppf: 316 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Value of Computed Tomography of the Chest in Subjects With ARDS: A Retrospective Observational Study. aug: au: Simon, Marcel Braune, Stephan Laqmani, Azien Metschke, Maria Berliner, Christoph Kalsow, Maria Klose, Hans Kluge, Stefan affil: Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany sug: subj: Respiratory Distress Syndrome, Acute Radiography Tomography, X-Ray Computed Radiography, Thoracic Respiratory Distress Syndrome, Acute Therapy Intensive Care Units Lung Pathology Transportation of Patients Retrospective Design Descriptive Statistics P-Value Two-Tailed Test Data Analysis Software Chi Square Test Adolescence Adult Middle Age Aged Aged, 80 and Over Female Male Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: BACKGROUND: The value of computed tomography (CT) of the chest in the management of patients with ARDS is poorly defined. The aim of this study was to assess the clinical utility of thoracic CT scans in subjects with ARDS using the Berlin definition. METHODS: This was a retrospective, observational study in a university hospital ARDS center on all subjects with ARDS in whom a CT scan of the chest was performed immediately before or during an ICU stay between January 1, 2007 and June 30, 2013. RESULTS: During the study period, a total of 1,781 thoracic CT scans were performed, of which 204 cases met inclusion criteria. The most common pathologic findings of the lung parenchyma were consolidations (94.1 % of cases) and ground glass opacities (85.3%). Furthermore, CT scans showed pleural effusions (80.4%), mediastinal lymphadenopathy (66.7%), signs of right ventricular strain and pulmonary hypertension (53.9%), pericardial effusion (37.3%), emphysema of the chest wall (12.3%), pneumothorax (11.8%), emphysema of the mediastinum (7.4%), and pulmonary embolism (2.5%). Results of CT scans led to changes in management in 26.5% of cases. Mortality was significantly increased in subjects with involvement of lung parenchyma of >80% (P = .004). Intrahospital transport was associated with critical incidents in 8.3% of cases. CONCLUSIONS: Systematic evaluation of thoracic CT scans yielded information useful for making a diagnosis, predicting prognosis, and recognizing concomitant disorders requiring therapeutic interventions. Results obtained from CT scans led to changes in management in 26.5% of cases. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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