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, Hakan
dc.contributor.authorKocak-Tufan, Zeliha
dc.contributor.authorYilmaz, Omer
dc.contributor.authorKarakurt, Zuhal
dc.contributor.authorCilli, Aykut
dc.contributor.authorTurkan, Hulya
dc.contributor.authorLeblebicioglu, Hakan
dc.date.accessioned2020-06-25T18:12:21Z
dc.date.available2020-06-25T18:12:21Z
dc.date.issued2014
dc.departmentKırıkkale Üniversitesi
dc.descriptionTufan, Zeliha Kocak/0000-0002-3294-014X; Leblebicioglu, Hakan/0000-0002-6033-8543; Karakas, Ahmet/0000-0002-0553-8454; Gungor, Gokay/0000-0003-2294-489X
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.citationErdem, H., Kocak-Tufan, Z., Yilmaz, O. et al. The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study. Ann Clin Microbiol Antimicrob 13, 5 (2014).en_US
dc.identifier.doi10.1186/1476-0711-13-5
dc.identifier.issn1476-0711
dc.identifier.pmid24400646
dc.identifier.scopus2-s2.0-84892141563
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/1476-0711-13-5
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5878
dc.identifier.volume13en_US
dc.identifier.wosWOS:000330050000001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBiomed Central Ltden_US
dc.relation.ispartofAnnals Of Clinical Microbiology And Antimicrobials
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
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

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