The Relationship Between Diagnostic Efficiency of Bronchoscopy with Clinical and Radiological Findings in Pulmonary Sarcoidosis

Öcal, Nesrin; Bilgiç, Hayati; Tozkoparan, Ergün; Deniz, Ömer; Açıkel, Cengizhan; Uçar, Ergün; Gümüş, Seyfettin; Tasci, Canturk

doi:10.5336/archlung.2015-44183

Cited by 2 publications

(2 citation statements)

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“…The relationship between the radiological findings and the diagnostic efficacy of bronchoscopy was demonstrated in various pulmonary diseases. 24 However, we have not found any studies about this relationship in cases with OP. Our results show that radiological features were in association with the diagnostic efficacy of bronchoscopy.…”

Section: Discussionmentioning

confidence: 75%

Is there any superiority among diagnostic methods in organizing pneumonia in terms of clinical features of the patients?

Kavakli¹,

Öcal²,

Doğan³

et al. 2016

TCRM

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BackgroundOrganizing pneumonia (OP) can be idiopathic or secondary to some clinical situations. If an etiological cause is not present, this phenomenon is called cryptogenic OP. Secondary OP is associated with various diseases that are known to induce the OP.ObjectivesThe aim of this study was to evaluate the clinical features of the cases with OP and compare the patients diagnosed by bronchoscopic transbronchial biopsy with patients diagnosed by surgical lung biopsy.Patients and methodsMedical records of 41 patients diagnosed with OP between 2004 and 2014 were reviewed retrospectively.ResultsTotally, 41 patients with OP were identified. In all, 39.02% of the cases were diagnosed by bronchoscopic methods, and 60.97% of the cases were diagnosed by surgical procedures. Although the frequency of ground glass opacities, consolidations, and micronodules was higher in the group diagnosed by bronchoscopy, mass-like lesions were more common in the cases diagnosed by surgery. Bronchoscopy, performed in 30 patients totally, had a diagnostic efficacy of 53.33%. Diagnostic value of bronchoscopy was significantly higher in cryptogenic OPs. Although diffuse radiological pattern was more common in “successful bronchoscopy” group, frequency of focal pattern was higher in “failed bronchoscopy” group. Ground glass opacity in successful bronchoscopy group and mass-like lesions in failed bronchoscopy group reached significant differences.ConclusionThere were significant differences between the diagnostic procedures in terms of radiological patterns. This is the first study about the relationship between the diagnostic methods and the characteristics of OP.

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Section: Discussionmentioning

confidence: 75%

Is there any superiority among diagnostic methods in organizing pneumonia in terms of clinical features of the patients?

Kavakli¹,

Öcal²,

Doğan³

et al. 2016

TCRM

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“…Steroid kullanımının bağışıklık sistemi üzerine olumsuz etkileri bilinen bir gerçek olup steroid kullananlarda VİP insidansı ve ağırlığının arttığına dair veriler mevcuttur (15 (9). Bu çalışmada kullandığımız radyolojik skorlama yönteminin benzer formları pek çok pulmoner hastalıkta tercih edilen, hızlı ve kolay bir yön-temdir (4,21). Ancak VİP'te bu tür bir radyolojik skorlamanın prognostik rolüne dair literatürde geniş bir bilgiye rastlamadık.…”

Section: Discussionunclassified

Prognostic Value of Unchangeable Risk Factors for and the Radiologic Scoring System in Ventilator-Associated Pneumonia

Öcal¹,

Öcal²,

Özer³

et al. 2016

Yoğun Bakim Derg

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Objective: There are insufficient data in the literature on the comparative evaluation of unchangeable risk factors for ventilator-associated pneumonia (VAP), such as the personal characteristics and/or the existing features of patients on admission to the intensive care unit, together with radiographic findings. In this study, we aimed to investigate mortality risk factors and the possible prognostic role of radiological extent of pneumonia in patients with VAP.Material and Methods: Data on patients treated with mechanical ventilation in the intensive care unit were retrospectively evaluated. Among these, chest radiographs of patients with VAP were scored. Data were compared in terms of mortality.Results: Older age, higher average ventilator days, admission to the intensive care unit due to chronic obstructive pulmonary diseases (COPD) exacerbations, steroid use, concomitant COPD, and chronic renal failure were observed as risk factors for VAP development. On the other hand, older age, prolonged mechanical ventilation, re-intubation, admission to the intensive care unit due to acute renal failure, and concomitant diabetes mellitus were identified as mortality risk factors for VAP. Radiographic scores were significantly higher in patients with a history of steroid use, patients hospitalized in the intensive care unit due to COPD, and patients with concomitant chronic renal failure (p=0.05, p=0.002, and p=0.045, respectively). Significant positive correlations were observed between age and ventilator days and also between radiographic scores and ventilator period (p=0.001 and p=0.03, respectively). A high total radiographic score was considered as a statistically significant prognostic marker for VAP in terms of mortality (p=0.005). Conclusion:In light of our results, the recommended radiologic scoring system can be used as a prognostic marker in patients with VAP. To our knowledge, this study is the first to focus on the comparative evaluation of unchangeable risk factors for VAP together with radiographic findings. We believe that it would be useful in clinical practice with a new perspective.Keywords: Ventilator-associated pneumonia, prognosis, mortality, risk factors, radiology, scoring method Received: 23.05.2016 Accepted: 12.07.2016Amaç: Ventilatör ilişkili pnömoni (VİP) gelişiminde rol oynayan hastaya ait faktör-ler veya yoğun bakıma yatışında etken olan özellikler gibi değiştirilemeyecek risk faktörlerinin radyolojik bulgularla beraber ve karşılaştırmalı olarak değerlendirilmesi bakımından literatürde yeterli veri yoktur. Biz bu çalışmada VİP gelişen olgularda mortaliteyi etkileyen risk faktörlerini ve pnömoni radyolojik ağırlığının olası prognostik rolünü ortaya koymayı hedefledik. Gereç ve Yöntemler:Yoğun bakım ünitesinde mekanik ventilasyon ile izlenen hastaların verileri retrospektif olarak değerlendirildi. Bu hastalar arasında VİP tanısı konulanlarda tanıya ait akciğer grafileri radyolojik olarak skorlandı. Elde edilen veriler mortalite açısından karşılaştırıldı.Bulgular: İleri yaş, ortalama ventilat...

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The Relationship Between Diagnostic Efficiency of Bronchoscopy with Clinical and Radiological Findings in Pulmonary Sarcoidosis

Cited by 2 publications

References 27 publications

Is there any superiority among diagnostic methods in organizing pneumonia in terms of clinical features of the patients?

Is there any superiority among diagnostic methods in organizing pneumonia in terms of clinical features of the patients?

Prognostic Value of Unchangeable Risk Factors for and the Radiologic Scoring System in Ventilator-Associated Pneumonia

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