Implementation of lung ultrasound in polyvalent intensive care unit: Impact on irradiation and medical cost - 18/03/15
, A. Cornesse a , E. Hammad a , M. Haddam a , C. Brun a , C. Vigne a , B. Meyssignac a , A. Remacle b , K. Chaumoitre c , F. Antonini a , C. Martin a , M. Leone a Bienvenue sur EM-consulte, la référence des professionnels de santé.
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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 48hours 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.
Le texte complet de cet article est disponible en PDF.Keywords : Radiograph, Computed tomography scan, Ultrasound, Lung, Critical care
Plan
Vol 34 - N° 1
P. 41-44 - février 2015 Retour au numéro
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