Role of X ray chest in Paediatric intensive care unit (PICU): Is it a good predictor of outcome ?
Introduction: ICU patients are prone to several cardiopulmonary disorders which when superimposed on the underlying pathology that prompted admission create a complex radiological appearance, which may be difficult to interpret on the basis of imaging findings alone. Our objective is to assess whether radiographic findings predict outcomes among children hospitalized with pneumonia.
Material and Methods: A retrospective study of 127 cases was carried out in the Department of Radio Diagnosis, who were referred for a Chest radiograph evaluation from PICU. Patients with complaint suggestive of acute cardiopulmonary and systemic illness on the basis of clinical/laboratory/ultrasonography findings / who were referred for a radiographs evaluation of the cardiopulmonary. Several measures of disease severity were assessed. The severity of the illness was evaluated and the outcome parameters was calculated using the chi square test.
Results: There were 127 patients of less than 12 years taken in study in which 74 were males and 53 were females, in which 27% were of cardiac illness, 46% of respiratory illness, 13% of CNS, 9% routine X ray and 5% of others. radiological findings in cardiac patient shows that maximum 91.11% of patents have cardiomegaly followed by consolidation , effusion and minimum number have normal findings and in respiratory cases, maximum patients shows consolidation (71.11%) followed by increased vascular markings(54.33%), infilterate (23.72%), effusion16.9%), normal (0.084%) and cardiomegaly (0.05%).
Conclusion: Admission radiographic findings are associated with important hospital outcomes and care processes and may help to predict disease severity. Chest radiograph adds on for evaluation of available, appropriate diagnostic and therapeutic interventions in critically patients in PICU.
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