Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study
Objectives To compare the yield of early combined use of chest X-ray (CXR) and chest computed tomography (CT) in patients diagnosed with community-acquired pneumonia (CAP) presenting to the emergency department (ED) and assess the impact of chest CT on the initial diagnosis. Methods The medical reco...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-08-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211039791 |
| _version_ | 1818692606565023744 |
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| author | Dima Ibrahim Abdul Rahman Bizri Mohammad Ali El Amine Zeina Halabi |
| author_facet | Dima Ibrahim Abdul Rahman Bizri Mohammad Ali El Amine Zeina Halabi |
| author_sort | Dima Ibrahim |
| collection | DOAJ |
| description | Objectives To compare the yield of early combined use of chest X-ray (CXR) and chest computed tomography (CT) in patients diagnosed with community-acquired pneumonia (CAP) presenting to the emergency department (ED) and assess the impact of chest CT on the initial diagnosis. Methods The medical records of 900 patients who presented to the ED and were diagnosed with CAP over a 1-year period were reviewed, and 130 patients who underwent CXR and chest CT within 48 hours were selected. CXR findings were classified as positive, negative, or inconclusive for CAP. Chest CT findings were defined as positive, negative, inconclusive, or positive with add-on to the CXR findings. CT was classified as having no benefit, large benefit, or moderate benefit based on the chest CT and CXR findings. Results Chest CT results were positive in 90.7% of patients, with 41.5% being newly diagnosed after negative or inconclusive CXR and 21.5% being diagnosed with add-on to the CXR findings. CT had large, moderate, and no benefit over CXR in diagnosing or excluding CAP in 45.3%, 21.5%, and 33.1% of patients, respectively. Conclusion Early chest CT may be used to compliment CXR in the early diagnosis of CAP among patients in the ED. |
| first_indexed | 2024-12-17T13:00:28Z |
| format | Article |
| id | doaj.art-a8f3a13967cd49f8ad583e16f68ce16d |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-17T13:00:28Z |
| publishDate | 2021-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-a8f3a13967cd49f8ad583e16f68ce16d2022-12-21T21:47:22ZengSAGE PublishingJournal of International Medical Research1473-23002021-08-014910.1177/03000605211039791Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational studyDima IbrahimAbdul Rahman BizriMohammad Ali El AmineZeina HalabiObjectives To compare the yield of early combined use of chest X-ray (CXR) and chest computed tomography (CT) in patients diagnosed with community-acquired pneumonia (CAP) presenting to the emergency department (ED) and assess the impact of chest CT on the initial diagnosis. Methods The medical records of 900 patients who presented to the ED and were diagnosed with CAP over a 1-year period were reviewed, and 130 patients who underwent CXR and chest CT within 48 hours were selected. CXR findings were classified as positive, negative, or inconclusive for CAP. Chest CT findings were defined as positive, negative, inconclusive, or positive with add-on to the CXR findings. CT was classified as having no benefit, large benefit, or moderate benefit based on the chest CT and CXR findings. Results Chest CT results were positive in 90.7% of patients, with 41.5% being newly diagnosed after negative or inconclusive CXR and 21.5% being diagnosed with add-on to the CXR findings. CT had large, moderate, and no benefit over CXR in diagnosing or excluding CAP in 45.3%, 21.5%, and 33.1% of patients, respectively. Conclusion Early chest CT may be used to compliment CXR in the early diagnosis of CAP among patients in the ED.https://doi.org/10.1177/03000605211039791 |
| spellingShingle | Dima Ibrahim Abdul Rahman Bizri Mohammad Ali El Amine Zeina Halabi Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study Journal of International Medical Research |
| title | Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study |
| title_full | Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study |
| title_fullStr | Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study |
| title_full_unstemmed | Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study |
| title_short | Chest computed tomography and chest X-ray in the diagnosis of community-acquired pneumonia: a retrospective observational study |
| title_sort | chest computed tomography and chest x ray in the diagnosis of community acquired pneumonia a retrospective observational study |
| url | https://doi.org/10.1177/03000605211039791 |
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