Heterotopic ossification in patients previously hospitalized in an intensive care unit

Chrissa Sioka, Eleonora Konstanti, Athanasios Papadopoulos

  • 1Department of Nuclear Medicine, University Hospital of Ioannina, Ioannina, Greece. professor.fotopoulos@yahoo.com.

Insights

Heterotopic ossification (HO) is a complication in intensive care unit (ICU) patients. Three-phase bone scans (3pBS) can detect HO, with longer ICU stays correlating to more affected joints.

Area of Science:

  • Medical Imaging
  • Nuclear Medicine
  • Intensive Care Medicine

Background:

  • Heterotopic ossification (HO) is a recognized complication in intensive care unit (ICU) patients.
  • Early detection and management of HO are crucial for patient outcomes.

Purpose of the Study:

  • To examine the association of heterotopic ossification (HO) diagnosed by three-phase bone scan (3pBS) with various clinical parameters in ICU patients.
  • To evaluate the utility of 3pBS in identifying HO in the ICU population.

Main Methods:

  • Retrospective review of patient records from 2004-2016.
  • Identification of patients diagnosed with HO via 3pBS and cross-referencing with ICU admission records.
  • Analysis of demographic data, HO laterality, affected joints, and duration of ICU stay.

Main Results:

  • 17 ICU patients were diagnosed with HO via 3pBS.
  • HO was more common in males (92%) with a mean age of 38.
  • HO predominantly affected lower limbs (hip) and upper limbs (elbow), with longer ICU stays correlating to more affected joints.

Conclusions:

  • Heterotopic ossification (HO) is a significant complication in ICU patients.
  • Three-phase bone scan (3pBS) is effective for early HO detection in this population.
  • Screening ICU patients with 3pBS is recommended for timely management.
Abstract

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