Salehi Mehrdad, Saberi Kianoush, Rahmanian Mehrzad, Bakhshandeh Ali Reza, Sharifi Shahnaz
Department of Cardiac Surgery, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ann Card Anaesth. 2017 Jan-Mar;20(1):38-41. doi: 10.4103/0971-9784.197829.
The objective of this study is to investigate the safety of elimination of chest radiography in the postcardiac surgery Intensive Care Unit (ICU).
We compared patients in two different groups of routine CXR (RCXR) and limited CXR (LCXR) and their diagnostic and therapeutic outcome in a University hospital-based single center from 2014 to 2016. 3 CXR in the RCXR group and 1 CXR in the limited group was performed, in addition to on-demand criteria.
A total of 978 samples were acceptable for analysis which 55.21% of RCXR and 59.50% of LCXR were male patients. In total, 523 abnormalities in RCXR group and 154 occasions in LCXR group resulted in 26.73% diagnostic efficacy for RCXRs and 28.57% for LCXR. From 1956 CXR that was taken in RCXR group, 72 occasions required intervention (3.68%) and 84 cases out of 539 (15.58%) LCXR needed an action to therapy. This means a 14.40% in RCXRs' abnormalities and 56.00% of LCXRs' abnormalities were accompanied with some interventions.
Abolishing routine CXR in the ICUs would not be harmful for the patients, and it can be managed based on their clinical status and other safer imaging techniques.
本研究的目的是调查在心脏手术后重症监护病房（ICU）取消胸部X线检查的安全性。
我们比较了2014年至2016年在一家大学附属医院单中心的常规胸部X线检查（RCXR）和有限胸部X线检查（LCXR）两组患者及其诊断和治疗结果。除按需标准外，RCXR组进行3次胸部X线检查，有限组进行1次胸部X线检查。
共有978个样本可用于分析，其中RCXR组55.21%为男性患者，LCXR组59.50%为男性患者。RCXR组共有523例异常，LCXR组有154例，RCXR的诊断有效率为26.73%，LCXR为28.57%。在RCXR组进行的1956次胸部X线检查中，72次需要干预（3.68%），539次LCXR中有84例（15.58%）需要采取治疗措施。这意味着RCXR异常中有14.40%，LCXR异常中有56.00%伴有一些干预措施。
在ICU取消常规胸部X线检查对患者无害，可以根据患者的临床状况和其他更安全的成像技术进行管理。
