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.authorid0000-0002-3294-014Xen_US
dc.authorid0000-0002-6033-8543en_US
dc.authorid0000-0003-2294-489Xen_US
dc.authorid0000-0002-0553-8454en_US
dc.contributor.authorErdem, Hakan
dc.contributor.authorKocak-Tufan, Zeliha
dc.contributor.authorYilmaz, Omer
dc.contributor.authorKarakurt, Zuhal
dc.contributor.authorCilli, Aykut
dc.contributor.authorTurkan, Hulya
dc.contributor.authorYazicioglu-Mocin, Ozlem
dc.contributor.authorAdiguzel, Nalan
dc.contributor.authorGungor, Gokay
dc.contributor.authorTasci, Canturk
dc.contributor.authorYilmaz, Gulden
dc.contributor.authorOncul, Oral
dc.contributor.authorDogan-Celik, Aygul
dc.contributor.authorErdemli, Ozcan
dc.contributor.authorOztoprak, Nefise
dc.contributor.authorTomak, Yakup
dc.contributor.authorInan, Asuman
dc.contributor.authorTok, Demet
dc.contributor.authorTemur, Sibel
dc.contributor.authorOksuz, Hafize
dc.contributor.authorSenturk, Ozgur
dc.contributor.authorBuyukkocak, Unase
dc.contributor.authorYilmaz-Karadag, Fatma
dc.contributor.authorOzturk-Engin, Derya
dc.contributor.authorOzcengiz, Dilek
dc.contributor.authorKarakas, Ahmet
dc.contributor.authorBilgic, Hayati
dc.contributor.authorLeblebicioglu, Hakan
dc.date.accessioned2024-07-12T21:45:00Z
dc.date.available2024-07-12T21:45:00Z
dc.date.issued2014en_US
dc.departmentMaltepe Üniversitesien_US
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.en_US
dc.identifier.doi10.1186/1476-0711-13-5
dc.identifier.issn1476-0711
dc.identifier.pmid24400646en_US
dc.identifier.scopus2-s2.0-84892141563en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://dx.doi.org/10.1186/1476-0711-13-5
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7768
dc.identifier.volume13en_US
dc.identifier.wosWOS:000330050000001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherBIOMED CENTRAL LTDen_US
dc.relation.ispartofANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00258
dc.subjectRadiographyen_US
dc.subjectThoracicen_US
dc.subjectPneumoniaeen_US
dc.subjectImagingen_US
dc.subjectCritical careen_US
dc.titleThe interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective studyen_US
dc.typeArticle
dspace.entity.typePublication

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