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Related Experiment Videos

Routine chest radiographs in pediatric intensive care units.

M W Quasney1, D M Goodman, M Billow

  • 1Department of Pediatrics, Crippled Children's Foundation Research Center, Le Bonheur Children's Medical Center, University of Tennessee, Memphis, Tennessee 38103, USA. mquasney@utmem.edu

Pediatrics
|February 7, 2001
PubMed
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Routine portable chest x-rays (CXRs) in the pediatric intensive care unit (PICU) led to interventions in 45% of cases. Interventions were more frequent in smaller children with devices and active cardiopulmonary issues.

Area of Science:

  • Pediatric critical care medicine
  • Diagnostic imaging
  • Radiology

Background:

  • Routine portable morning chest x-rays (CXRs) are common in pediatric intensive care units (PICUs).
  • The utility and impact of these routine CXRs on patient management remain areas for investigation.

Purpose of the Study:

  • To assess the frequency of interventions based on routine morning CXRs in PICU patients.
  • To identify specific pediatric patient subgroups that benefit most from routine CXRs.

Main Methods:

  • A prospective, multi-institutional study involving 15 tertiary care hospitals.
  • Data collected included patient weight, diagnosis, presence of cardiopulmonary problems, devices, and length of stay.
  • Interventions performed based on CXR interpretation were recorded.

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Main Results:

  • Of 512 routine CXRs, 45% resulted in at least one intervention.
  • Interventions were more common in smaller children (
  • The frequency of interventions increased with the number of devices (50% with ≥2 devices) and presence of active cardiopulmonary problems (51%).

Conclusions:

  • Routine CXRs are valuable in guiding interventions for critically ill pediatric patients.
  • Smaller children, those with multiple devices, and patients with active cardiopulmonary issues are more likely to have interventions based on routine CXRs.