L Zieleskiewicz1, A Cornesse2, E Hammad3, M Haddam4, C Brun5, C Vigne6, B Meyssignac7, A Remacle8, K Chaumoitre9, F Antonini10, C Martin11, M Leone12. 1. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: laurent.zieleskiewicz@ap-hm.fr. 2. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: aline.cornesse@gmail.com. 3. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: emmanuelle.hammad@ap-hm.fr. 4. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: malik.haddam@ap-hm.fr. 5. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: clement.brun@ap-hm.fr. 6. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: coralie.vigne@ap-hm.fr. 7. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: bertrand.meyssignac@ap-hm.fr. 8. Department of medical informatics, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: anne.remacle@ap-hm.fr. 9. Department of radiology, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: kathia.chaumoitre@ap-hm.fr. 10. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: francois.antonini@ap-hm.fr. 11. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: claude.martin@ap-hm.fr. 12. Department of anesthesiology and critical care medicine, Nord hospital, AP-HM, Aix Marseille university, Marseille, France. Electronic address: marc.leone@ap-hm.fr.
Abstract
OBJECTIVE: 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). STUDY DESIGN: Retrospective study comparing two consecutive periods. PATIENTS: All patients hospitalized for longer than 48 hours in a polyvalent ICU. METHODS: 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. RESULTS: 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 (P<0.005) 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.
OBJECTIVE: 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). STUDY DESIGN: Retrospective study comparing two consecutive periods. PATIENTS: All patients hospitalized for longer than 48 hours in a polyvalent ICU. METHODS: 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. RESULTS: 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 (P<0.005) 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.
Authors: M Riishede; A T Lassen; G Baatrup; P I Pietersen; N Jacobsen; K N Jeschke; C B Laursen Journal: Scand J Trauma Resusc Emerg Med Date: 2021-04-26 Impact factor: 2.953
Authors: Etrusca Brogi; Elena Bignami; Anna Sidoti; Mohammed Shawar; Luna Gargani; Luigi Vetrugno; Giovanni Volpicelli; Francesco Forfori Journal: Cardiovasc Ultrasound Date: 2017-09-13 Impact factor: 2.062
Authors: Anna M Maw; Megan A Morris; Juliana G Barnard; Juliana Wilson; Russell E Glasgow; Amy G Huebschmann; Nilam J Soni; Michelle Fleshner; John Kaufman; P Michael Ho Journal: Diagnostics (Basel) Date: 2021-06-28