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Titolo:
Utility of routine chest radiographs in a medical-surgical intensive care unit: a quality assurance survey
Autore:
Chahine-Malus, N; Stewart, T; Lapinsky, SE; Marras, T; Dancey, D; Leung, R; Mehta, S;
Indirizzi:
Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada Mt Sinai Hosp Toronto ON Canada M5G 1X5 Hosp, Toronto, ON M5G 1X5, Canada
Titolo Testata:
CRITICAL CARE
fascicolo: 5, volume: 5, anno: 2001,
pagine: 271 - 275
SICI:
1466-609X(200110)5:5<271:UORCRI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
VENTILATED PATIENTS; EFFICACY;
Keywords:
chest radiograph; intensive care unit; quality assurance; routine radiography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Mehta, S Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada Mt Sinai Hosp TorontoON Canada M5G 1X5 onto, ON M5G 1X5, Canada
Citazione:
N. Chahine-Malus et al., "Utility of routine chest radiographs in a medical-surgical intensive care unit: a quality assurance survey", CRIT CARE, 5(5), 2001, pp. 271-275

Abstract

Objective To determine the utility of routine chest radiographs (CXRs) in clinical decision-making in the intensive care unit (ICU). Design A prospective evaluation of CXRs performed in the ICU for a period of 6 months. A questionnaire was completed for each CXR performed, addressing the indication for the radiograph, whether it changed the patient's management, and how it did so. Setting A 14-bed medical-surgical ICU in a university-affiliated, tertiarycare hospital. Patients A total of 645 CXRs were analyzed in 97 medical patients and 205 CXRs were analyzed in 101 surgical patients. Results Of the 645 CXRs performed in the medical patients, 127 (19.7%) ledto one or more management changes. In the 66 surgical patients with an ICUstay <48 hours, 15.4% of routine CXRs changed management. In 35 surgical patients with an ICU stay <greater than or equal to>48 hours, 26% of the 100routine films changed management. In both the medical and surgical patients, the majority of changes were related to an adjustment of a medical device. Conclusions Routine CXRs have some value in guiding management decisions in the ICU. Daily CXRs may not, however, be necessary for all patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:15:50