1. Implementation of lung ultrasound in polyvalent intensive care unit: Impact on irradiation and medical cost
- Author
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Kathia Chaumoitre, Clément Brun, A. Remacle, Coralie Vigne, Claude Martin, Emmanuelle Hammad, B. Meyssignac, Laurent Zieleskiewicz, A. Cornesse, Marc Leone, Malik Haddam, and François Antonini
- Subjects
Adult ,Male ,medicine.medical_specialty ,Radiography ,Critical Care and Intensive Care Medicine ,Severity of Illness Index ,law.invention ,law ,Medicine ,Humans ,Hospital Mortality ,Lung ,Aged ,Retrospective Studies ,Ultrasonography ,Icu mortality ,business.industry ,Ultrasound ,Retrospective cohort study ,General Medicine ,Length of Stay ,Middle Aged ,Intensive care unit ,Respiration, Artificial ,Lung ultrasound ,Radiation exposure ,Intensive Care Units ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Treatment Outcome ,Female ,Radiography, Thoracic ,Radiology ,business ,Tomography, X-Ray Computed - Abstract
To determine the effect of implementing a daily lung ultrasound round on the number of chest radiographs and chest computed tomography (CT) scans in a polyvalent intensive care unit (ICU).Retrospective study comparing two consecutive periods.All patients hospitalized for longer than 48 hours in a polyvalent ICU.Implementation of a daily lung ultrasound round after a short educational program. The number of chest radiographs and chest CT scans and the patient outcome were measured before (group PRE) and after (group POST) the implementation of a daily lung ultrasound round.No demographic difference was found between the two groups, with the exception of a higher severity score in the group POST. For each ICU stay, the number of chest radiographs was 10.3 ± 12.4 in the group PRE and 7.7 ± 10.3 in the group POST, respectively (P0.005) The number of chest CT scans was not reduced in the group POST, as compared with the group PRE (0.5 ± 0.7 CT scan/patient/ICU stay versus 0.4 ± 0.6 CT scan/patient/ICU stay, P=0.01). The ICU mortality was similar in both groups (21% versus 22%, P=0.75) CONCLUSION: The implementation of a daily lung ultrasound round was associated with a reduction in radiation exposure and medical cost without altering patient outcome.
- Published
- 2015