The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: A multicentre retrospective study

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dc.contributor.authorErdem H.
dc.contributor.authorKocak-Tufan Z.
dc.contributor.authorYilmaz O.
dc.contributor.authorKarakurt Z.
dc.contributor.authorCilli A.
dc.contributor.authorTurkan H.
dc.contributor.authorYazicioglu-Mocin O.
dc.contributor.authorAdiguzel N.
dc.contributor.authorGungor G.
dc.contributor.authorTaşci C.
dc.contributor.authorYilmaz G.
dc.contributor.authorOncul O.
dc.contributor.authorDogan-Celik A.
dc.contributor.authorErdemli O.
dc.contributor.authorOztoprak N.
dc.contributor.authorTomak Y.
dc.contributor.authorInan A.
dc.contributor.authorTok D.
dc.contributor.authorTemur S.
dc.contributor.authorOksuz H.
dc.contributor.authorSenturk O.
dc.contributor.authorBuyukkocak U.
dc.contributor.authorYilmaz-Karadag F.
dc.contributor.authorOzturk-Engin D.
dc.contributor.authorOzcengiz D.
dc.contributor.authorKarakas A.
dc.contributor.authorBilgic H.
dc.contributor.authorLeblebicioglu H.
dc.date.accessioned2024-07-22T08:16:31Z
dc.date.available2024-07-22T08:16:31Z
dc.date.issued2014
dc.description.abstractBackground: 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. © 2014 Erdem et al.; licensee BioMed Central Ltd.
dc.identifier.DOI-ID10.1186/1476-0711-13-5
dc.identifier.issn14760711
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16856
dc.language.isoEnglish
dc.publisherBioMed Central Ltd.
dc.rightsAll Open Access; Gold Open Access
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCommunity-Acquired Infections
dc.subjectFemale
dc.subjectHumans
dc.subjectIntensive Care Units
dc.subjectLung
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPneumonia
dc.subjectRadiography, Thoracic
dc.subjectRespiration, Artificial
dc.subjectRetrospective Studies
dc.subjectTomography, X-Ray Computed
dc.subjectYoung Adult
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectartificial ventilation
dc.subjectcommunity acquired pneumonia
dc.subjectcomputer assisted tomography
dc.subjectfemale
dc.subjecthuman
dc.subjectintensive care
dc.subjectintensive care unit
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectmulticenter study
dc.subjectphase 4 clinical trial
dc.subjectretrospective study
dc.subjectthorax radiography
dc.subjectvery elderly
dc.subjectyoung adult
dc.titleThe interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: A multicentre retrospective study
dc.typeArticle

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