Chest radiography in intensive care: an irreplaceable survey?

Palazzetti, V.; Gasparri, E.; Gambini, Claudio; Sollazzo, S.; Sarić, S; Sarchi, Luca; Giovagnoni, Andrea

doi:10.1007/s11547-012-0886-6

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…For several years mobile X-ray has been used routinely for imaging patients too unwell to be transported to the radiology department for examination within the hospital for making diagnostic decisions [ 1 ]. Still it is used, when patients are too fragile to be transported to the radiology department [ 2 – 4 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile X-ray outside the hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

BMC Health Serv Res

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Background: For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside the hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to provide insights into the breadth, depth and gaps in a body of literature. Methods: The scoping review was performed by searching PubMed, Cinahl, Embase, EconLit and Health Technology Assessment. English-, Danish-, Norwegian-, German-, Italian-, French-and Swedish-language studies, published 1.1.2009-1.5.2020 about mobile X-ray outside the hospital were included. Participants were patients examined using mobile X-ray as the intervention. PRISMA was used when eligible to build up the review. To extract data from the selected articles, we used a structured summary table. Results: We included 12 studies in this scoping review. The results were divided into four topics:1. Target population 2. Population health 3. Experience of care and 4. Cost effectiveness. The main findings are that target population could be larger for instance including hospice patients for palliative care, group dwelling for people with intellectual disabilities, or psychiatric patients, population health may be improved, image quality seems to be good and mobile X-ray may be cost effective. Limitations of language, databases and grey literature may have resulted in studies being missed. Conclusions: Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to draw a final conclusion if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and societal consequences and therefore the topic mobile X-ray needs more research.

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Section: Introductionmentioning

confidence: 99%

Mobile X-ray outside the hospital: a scoping review

Toppenberg

Christiansen

Rasmussen

et al. 2020

BMC Health Serv Res

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“…For several years mobile X-ray has been used routinely for imaging patients too unwell to be transported to the radiology department for examination within the hospital for making diagnostic decisions [1]. Still it is used, when patients are too fragile to be transported to the radiology department [2][3][4].…”

Section: Rationalementioning

confidence: 99%

Mobile X-ray outside the Hospital: a review

Toppenberg

Christiansen

Rasmussen

et al. 2019

Preprint

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Background For several years mobile X-ray equipment has been used in intensive care units, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to know if it is an evident alternative to hospital-based examination and in what populations. Methods We searched PubMed, Cinahl and Embase for English-, Danish-, Norwegian - and Swedish-language studies, published within the last 10 years about mobile X-ray outside the hospital. We decided that both qualitative and quantitative studies were eligible. Result We included nine studies in this scoping review. The results were divided into four topics : 1. Target population 2. Population health 3 . Experience of care and 4. C ost effectiveness . The conclusions are unclear, as quality of the evidence is low, the study populations are small, and the descriptions of the technology are week. Conclusion Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to conclude if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and society.

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“…In a study by Palazzetti et al [1], the authors analyzed the frequency of bedside chest radiographs in the ICU and verified their clinical value by using one of the efficacy indexes-diagnostic efficacy-as defined by the ACR Committee on Efficacy to assess the cost-benefit ratio associated with radiological imaging. For the purposes of this document, we do not consider cost-effectiveness.…”

Section: Summary Of Literature Review Introduction/backgroundmentioning

confidence: 99%

ACR Appropriateness Criteria® Intensive Care Unit Patients

Imaging¹,

Laroia

Donnelly

et al. 2021

Journal of the American College of Radiology

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Chest radiography is the most frequent and primary imaging modality in the intensive care unit (ICU), given its portability, rapid image acquisition, and availability of immediate information on the bedside preview. Due to the severity of underlying disease and frequent need of placement of monitoring devices, ICU patients are very likely to develop complications related to underlying disease process and interventions. Portable chest radiography in the ICU is an essential tool to monitor the disease process and the complications from interventions; however, it is subject to overuse especially in stable patients. Restricting the use of chest radiographs in the ICU to only when indicated has not been shown to cause harm. The emerging role of bedside point-of-care lung ultrasound performed by the clinicians is noted in the recent literature. The bedside lung ultrasound appears promising but needs cautious evaluation in the future to determine its role in ICU patients.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Chest radiography in intensive care: an irreplaceable survey?

Abstract: Chest X-rays performed at the bedside are the most widely used imaging method in the follow-up of critically ill patients. DE is approximately 84.5%. Radiologists should maintain familiarity with the interpretation of this examination.

Cited by 9 publications

References 14 publications

Mobile X-ray outside the hospital: a scoping review

Mobile X-ray outside the hospital: a scoping review

Mobile X-ray outside the Hospital: a review

ACR Appropriateness Criteria® Intensive Care Unit Patients

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