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The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study
BACKGROUND: We evaluated patients admitted to the intensive care units with the diagnosis of community acquired pneumonia (CAP) regarding initial radiographic findings. METHODS: A multicenter retrospective study was held. Chest x ray (CXR) and computerized tomography (CT) findings and also their ass...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898785/ https://www.ncbi.nlm.nih.gov/pubmed/24400646 http://dx.doi.org/10.1186/1476-0711-13-5 |
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author | Erdem, Hakan Kocak-Tufan, Zeliha Yilmaz, Omer Karakurt, Zuhal Cilli, Aykut Turkan, Hulya Yazicioglu-Mocin, Ozlem Adıguzel, Nalan Gungor, Gokay Taşcı, Canturk Yilmaz, Gulden Oncul, Oral Dogan-Celik, Aygul Erdemli, Ozcan Oztoprak, Nefise Tomak, Yakup Inan, Asuman Tok, Demet Temur, Sibel Oksuz, Hafize Senturk, Ozgur Buyukkocak, Unase Yilmaz-Karadag, Fatma Ozturk-Engin, Derya Ozcengiz, Dilek Karakas, Ahmet Bilgic, Hayati Leblebicioglu, Hakan |
author_facet | Erdem, Hakan Kocak-Tufan, Zeliha Yilmaz, Omer Karakurt, Zuhal Cilli, Aykut Turkan, Hulya Yazicioglu-Mocin, Ozlem Adıguzel, Nalan Gungor, Gokay Taşcı, Canturk Yilmaz, Gulden Oncul, Oral Dogan-Celik, Aygul Erdemli, Ozcan Oztoprak, Nefise Tomak, Yakup Inan, Asuman Tok, Demet Temur, Sibel Oksuz, Hafize Senturk, Ozgur Buyukkocak, Unase Yilmaz-Karadag, Fatma Ozturk-Engin, Derya Ozcengiz, Dilek Karakas, Ahmet Bilgic, Hayati Leblebicioglu, Hakan |
author_sort | Erdem, Hakan |
collection | PubMed |
description | BACKGROUND: We evaluated patients admitted to the intensive care units with the diagnosis of community acquired pneumonia (CAP) regarding initial radiographic findings. METHODS: A multicenter retrospective study was held. Chest x ray (CXR) and computerized tomography (CT) findings and also their associations with the need of ventilator support were evaluated. RESULTS: A total of 388 patients were enrolled. Consolidation was the main finding on CXR (89%) and CT (80%) examinations. Of all, 45% had multi-lobar involvement. Bilateral involvement was found in 40% and 44% on CXR and CT respectively. Abscesses and cavitations were rarely found. The highest correlation between CT and CXR findings was observed for interstitial involvement. More than 80% of patients needed ventilator support. Noninvasive mechanical ventilation (NIV) requirement was seen to be more common in those with multi-lobar involvement on CXR as 2.4-fold and consolidation on CT as 47-fold compared with those who do not have these findings. Invasive mechanical ventilation (IMV) need increased 8-fold in patients with multi-lobar involvement on CT. CONCLUSION: CXR and CT findings correlate up to a limit in terms of interstitial involvement but not in high percentages in other findings. CAP patients who are admitted to the ICU are severe cases frequently requiring ventilator support. Initial CT and CXR findings may indicate the need for ventilator support, but the assumed ongoing real practice is important and the value of radiologic evaluation beyond clinical findings to predict the mechanical ventilation need is subject for further evaluation with large patient series. |
format | Online Article Text |
id | pubmed-3898785 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38987852014-01-23 The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study Erdem, Hakan Kocak-Tufan, Zeliha Yilmaz, Omer Karakurt, Zuhal Cilli, Aykut Turkan, Hulya Yazicioglu-Mocin, Ozlem Adıguzel, Nalan Gungor, Gokay Taşcı, Canturk Yilmaz, Gulden Oncul, Oral Dogan-Celik, Aygul Erdemli, Ozcan Oztoprak, Nefise Tomak, Yakup Inan, Asuman Tok, Demet Temur, Sibel Oksuz, Hafize Senturk, Ozgur Buyukkocak, Unase Yilmaz-Karadag, Fatma Ozturk-Engin, Derya Ozcengiz, Dilek Karakas, Ahmet Bilgic, Hayati Leblebicioglu, Hakan Ann Clin Microbiol Antimicrob Research BACKGROUND: We evaluated patients admitted to the intensive care units with the diagnosis of community acquired pneumonia (CAP) regarding initial radiographic findings. METHODS: A multicenter retrospective study was held. Chest x ray (CXR) and computerized tomography (CT) findings and also their associations with the need of ventilator support were evaluated. RESULTS: A total of 388 patients were enrolled. Consolidation was the main finding on CXR (89%) and CT (80%) examinations. Of all, 45% had multi-lobar involvement. Bilateral involvement was found in 40% and 44% on CXR and CT respectively. Abscesses and cavitations were rarely found. The highest correlation between CT and CXR findings was observed for interstitial involvement. More than 80% of patients needed ventilator support. Noninvasive mechanical ventilation (NIV) requirement was seen to be more common in those with multi-lobar involvement on CXR as 2.4-fold and consolidation on CT as 47-fold compared with those who do not have these findings. Invasive mechanical ventilation (IMV) need increased 8-fold in patients with multi-lobar involvement on CT. CONCLUSION: CXR and CT findings correlate up to a limit in terms of interstitial involvement but not in high percentages in other findings. CAP patients who are admitted to the ICU are severe cases frequently requiring ventilator support. Initial CT and CXR findings may indicate the need for ventilator support, but the assumed ongoing real practice is important and the value of radiologic evaluation beyond clinical findings to predict the mechanical ventilation need is subject for further evaluation with large patient series. BioMed Central 2014-01-08 /pmc/articles/PMC3898785/ /pubmed/24400646 http://dx.doi.org/10.1186/1476-0711-13-5 Text en Copyright © 2014 Erdem et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Erdem, Hakan Kocak-Tufan, Zeliha Yilmaz, Omer Karakurt, Zuhal Cilli, Aykut Turkan, Hulya Yazicioglu-Mocin, Ozlem Adıguzel, Nalan Gungor, Gokay Taşcı, Canturk Yilmaz, Gulden Oncul, Oral Dogan-Celik, Aygul Erdemli, Ozcan Oztoprak, Nefise Tomak, Yakup Inan, Asuman Tok, Demet Temur, Sibel Oksuz, Hafize Senturk, Ozgur Buyukkocak, Unase Yilmaz-Karadag, Fatma Ozturk-Engin, Derya Ozcengiz, Dilek Karakas, Ahmet Bilgic, Hayati Leblebicioglu, Hakan The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title | The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title_full | The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title_fullStr | The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title_full_unstemmed | The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title_short | The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
title_sort | interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898785/ https://www.ncbi.nlm.nih.gov/pubmed/24400646 http://dx.doi.org/10.1186/1476-0711-13-5 |
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