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Prognostic impact of serial imaging in severe acute respiratory distress syndrome on the extracorporeal membrane oxygenation

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F23%3A00084372" target="_blank" >RIV/00023001:_____/23:00084372 - isvavai.cz</a>

  • Alternative codes found

    RIV/68407700:21730/23:00370272 RIV/00216208:11110/23:10472626 RIV/00064165:_____/23:10472626

  • Result on the web

    <a href="https://www.mdpi.com/2077-0383/12/19/6367" target="_blank" >https://www.mdpi.com/2077-0383/12/19/6367</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.3390/jcm12196367" target="_blank" >10.3390/jcm12196367</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Prognostic impact of serial imaging in severe acute respiratory distress syndrome on the extracorporeal membrane oxygenation

  • Original language description

    Background: The impact of serial imaging on the outcome of ICU patients has not been studied specifically in patients with high illness severity. Methods: The authors sought a relationship between the numbers of antero-posterior supine chest X-rays (CXR), computed tomography (CT) examinations, and outcome in a cohort of 292 patients with severe COVID-19 ARDS collected over 24 months in a high-volume ECMO center with established ultrasound and echocardiographic diagnostics. Of the patients, 172 (59%) were obese or morbidly obese, and 119 (41%) were treated with ECMO. Results: The median number of CXRs was eight per 14 days of the length of stay in the ICU. The CXR rate was not related to ICU survival (p = 0.37). Patients required CT scanning in 26.5% of cases, with no relationship to the outcome except for the better ICU survival of the ECMO patients without a need for a CT scan (p = 0.01). The odds ratio for survival associated with ordering a CT scan in an ECMO patient was 0.48, p = 0.01. The calculated savings for not routinely requesting a whole-body CT scan in every patient were 98.685 EUR/24 months. Conclusions: Serial imaging does not impact the survival rates of patients with severe ARDS. Extracorporeal membrane oxygenation patients who did not need CT scanning had significantly better ICU outcomes. © 2023 by the authors.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30224 - Radiology, nuclear medicine and medical imaging

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of clinical medicine

  • ISSN

    2077-0383

  • e-ISSN

    2077-0383

  • Volume of the periodical

    12

  • Issue of the periodical within the volume

    19

  • Country of publishing house

    CH - SWITZERLAND

  • Number of pages

    10

  • Pages from-to

    "art. no. 6367"

  • UT code for WoS article

    001119833600001

  • EID of the result in the Scopus database

    2-s2.0-85173856892