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The value of routine portable chest radiograph of patients in intensive care unit (ICU)

The value of routine portable chest radiograph of patients in Intensive Care Unit (ICU). Introduction: Since the advent of ICU set up, there has been two schools of thought regarding the usage of routine portable chest radiograph in critically ill patients. One school of thought says that routin...

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Main Author: Hamzah, Ahmad
Format: Thesis
Language:English
Published: 2008
Subjects:
R Medicine (General)
Online Access:http://eprints.usm.my/51700/1/DR.%20HAMZAH%20AHMAD-%2024%20pages.pdf
http://eprints.usm.my/51700/
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spelling my.usm.eprints.51700 http://eprints.usm.my/51700/ The value of routine portable chest radiograph of patients in intensive care unit (ICU) Hamzah, Ahmad R Medicine (General) The value of routine portable chest radiograph of patients in Intensive Care Unit (ICU). Introduction: Since the advent of ICU set up, there has been two schools of thought regarding the usage of routine portable chest radiograph in critically ill patients. One school of thought says that routine portable CXR will give a significant nwnber of unsuspected findings while the other claimed that it just increased radiation dose to the patient and little benefits obtained. At present, two standards of care have evolved, one using routine CXR and the other using clinically indicated CXR.. In Hospital Universiti Sains Malaysia (HUSM), some of our ICU physicians practised routine CXR particularly in cardiopulmonary disease with some modification while some of them requested CXR when clinically indicated. Our study aim is to detennine the diagnostic and therapeutic efficacy of routine chest radiographs in ICU HUSM xiii Methodology: This study was a cross sectional design conducted in HUSM starting from October 2006 till March 2007. 1016 CXRs were obtained within the study period and 501 portable CXRs were included in this study. The CXR were analysed and divided into routine and non routine groups. The CXR findings were recorded. The images were reviewed by a trainee radiologist using GE Pathspeed Diagnostic Workstation in the department of radiology. Approval from the Research Board Committee was obtained prior to study. Results: Fifty five (17.3 %) CXR.s showed new lesions or significant abnonnality in routine group, compared with 132 (72.1 %). There was a significant difference of detecting new lesion between routine and non routine with p value of 0.001. The CXR with new findings that resulted in an intervention was significantly higher in non routine compared to the routine groups, 68.9% and 9.4% respectively with p value ofO.OOl. XIV Conclusion: The non routine protocol yielded better diagnostic and therapeutic efficacy than routine CXR. The use of routine CXR is not cost effective. It resulted in an increased radiation dose to the patient with only little benefits. 2008 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/51700/1/DR.%20HAMZAH%20AHMAD-%2024%20pages.pdf Hamzah, Ahmad (2008) The value of routine portable chest radiograph of patients in intensive care unit (ICU). Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Hamzah, Ahmad
The value of routine portable chest radiograph of patients in intensive care unit (ICU)
description The value of routine portable chest radiograph of patients in Intensive Care Unit (ICU). Introduction: Since the advent of ICU set up, there has been two schools of thought regarding the usage of routine portable chest radiograph in critically ill patients. One school of thought says that routine portable CXR will give a significant nwnber of unsuspected findings while the other claimed that it just increased radiation dose to the patient and little benefits obtained. At present, two standards of care have evolved, one using routine CXR and the other using clinically indicated CXR.. In Hospital Universiti Sains Malaysia (HUSM), some of our ICU physicians practised routine CXR particularly in cardiopulmonary disease with some modification while some of them requested CXR when clinically indicated. Our study aim is to detennine the diagnostic and therapeutic efficacy of routine chest radiographs in ICU HUSM xiii Methodology: This study was a cross sectional design conducted in HUSM starting from October 2006 till March 2007. 1016 CXRs were obtained within the study period and 501 portable CXRs were included in this study. The CXR were analysed and divided into routine and non routine groups. The CXR findings were recorded. The images were reviewed by a trainee radiologist using GE Pathspeed Diagnostic Workstation in the department of radiology. Approval from the Research Board Committee was obtained prior to study. Results: Fifty five (17.3 %) CXR.s showed new lesions or significant abnonnality in routine group, compared with 132 (72.1 %). There was a significant difference of detecting new lesion between routine and non routine with p value of 0.001. The CXR with new findings that resulted in an intervention was significantly higher in non routine compared to the routine groups, 68.9% and 9.4% respectively with p value ofO.OOl. XIV Conclusion: The non routine protocol yielded better diagnostic and therapeutic efficacy than routine CXR. The use of routine CXR is not cost effective. It resulted in an increased radiation dose to the patient with only little benefits.
format Thesis
author Hamzah, Ahmad
author_facet Hamzah, Ahmad
author_sort Hamzah, Ahmad
title The value of routine portable chest radiograph of patients in intensive care unit (ICU)
title_short The value of routine portable chest radiograph of patients in intensive care unit (ICU)
title_full The value of routine portable chest radiograph of patients in intensive care unit (ICU)
title_fullStr The value of routine portable chest radiograph of patients in intensive care unit (ICU)
title_full_unstemmed The value of routine portable chest radiograph of patients in intensive care unit (ICU)
title_sort value of routine portable chest radiograph of patients in intensive care unit (icu)
publishDate 2008
url http://eprints.usm.my/51700/1/DR.%20HAMZAH%20AHMAD-%2024%20pages.pdf
http://eprints.usm.my/51700/
_version_ 1726792185165119488
score 13.211869

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