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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

Date

2014

Author

Erdem, Hakan
Kocak-Tufan, Zeliha
Yilmaz, Omer
Karakurt, Zuhal
Cilli, Aykut
Turkan, Hulya
Yazicioglu-Mocin, Ozlem
Adiguzel, Nalan
Gungor, Gokay
Tasci, 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

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Abstract

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.

Source

ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS

Volume

13

URI

https://dx.doi.org/10.1186/1476-0711-13-5
https://hdl.handle.net/20.500.12415/1802

Collections

  • Scopus İndeksli Yayınlar Koleksiyonu [1106]
  • WoS İndeksli Yayınlar Koleksiyonu [1116]
  • Öksüz Yayınlar Koleksiyonu - WoS [1113]



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