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
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30224 - Radiology, nuclear medicine and medical imaging
Result continuities
Project
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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