Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia

Patients clinically suspected of community-acquired pneumonia (CAP) were randomized between ultralow-dose chest computed tomography ([ULDCT] 261 patients) and chest radiograph ([CXR] 231 patients). We did not find evidence that performing ULDCT instead of CXR affects antibiotic treatment policy or p...

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Autores principales: van Engelen, Tjitske S R, Kanglie, Maadrika M N P, van den Berk, Inge A H, Altenburg, Josje, Dijkgraaf, Marcel G W, Bossuyt, Patrick M M, Stoker, Jaap, Prins, Jan M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199111/
https://www.ncbi.nlm.nih.gov/pubmed/37213423
http://dx.doi.org/10.1093/ofid/ofad215
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author van Engelen, Tjitske S R
Kanglie, Maadrika M N P
van den Berk, Inge A H
Altenburg, Josje
Dijkgraaf, Marcel G W
Bossuyt, Patrick M M
Stoker, Jaap
Prins, Jan M
author_facet van Engelen, Tjitske S R
Kanglie, Maadrika M N P
van den Berk, Inge A H
Altenburg, Josje
Dijkgraaf, Marcel G W
Bossuyt, Patrick M M
Stoker, Jaap
Prins, Jan M
author_sort van Engelen, Tjitske S R
collection PubMed
description Patients clinically suspected of community-acquired pneumonia (CAP) were randomized between ultralow-dose chest computed tomography ([ULDCT] 261 patients) and chest radiograph ([CXR] 231 patients). We did not find evidence that performing ULDCT instead of CXR affects antibiotic treatment policy or patient outcomes. However, in a subgroup of afebrile patients, there were more patients diagnosed with CAP in the ULDCT group (ULDCT, 106 of 608 patients; CXR, 71 of 654 patients; P = .001).
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spelling pubmed-101991112023-05-21 Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia van Engelen, Tjitske S R Kanglie, Maadrika M N P van den Berk, Inge A H Altenburg, Josje Dijkgraaf, Marcel G W Bossuyt, Patrick M M Stoker, Jaap Prins, Jan M Open Forum Infect Dis Brief Report Patients clinically suspected of community-acquired pneumonia (CAP) were randomized between ultralow-dose chest computed tomography ([ULDCT] 261 patients) and chest radiograph ([CXR] 231 patients). We did not find evidence that performing ULDCT instead of CXR affects antibiotic treatment policy or patient outcomes. However, in a subgroup of afebrile patients, there were more patients diagnosed with CAP in the ULDCT group (ULDCT, 106 of 608 patients; CXR, 71 of 654 patients; P = .001). Oxford University Press 2023-04-20 /pmc/articles/PMC10199111/ /pubmed/37213423 http://dx.doi.org/10.1093/ofid/ofad215 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Brief Report
van Engelen, Tjitske S R
Kanglie, Maadrika M N P
van den Berk, Inge A H
Altenburg, Josje
Dijkgraaf, Marcel G W
Bossuyt, Patrick M M
Stoker, Jaap
Prins, Jan M
Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title_full Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title_fullStr Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title_full_unstemmed Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title_short Limited Clinical Impact of Ultralow-Dose Computed Tomography in Suspected Community-Acquired Pneumonia
title_sort limited clinical impact of ultralow-dose computed tomography in suspected community-acquired pneumonia
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199111/
https://www.ncbi.nlm.nih.gov/pubmed/37213423
http://dx.doi.org/10.1093/ofid/ofad215
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