ABSTRACT • Background : In the critical care, some intensivists perform daily chest X-rays (CXR). The aim was to evaluate the accuracy of the interpretation of results by anesthesiology fellows compared to senior attenders, the clinico-radiological correlation, and the evolution of the radiologic findings. Methods: We included all patients that were admitted to the cardiothoracic surgery intensive care unit
(CSICU) and to the surgical intensive care unit (SICU) at our hospital.

Results: This study included 151 patients, with 533 CXR performed in both units. In the CSICU, when comparing fellows’ and seniors’ interpretations, we found that 52.6% of results were concordant, 21.1% were partially concordant and 26.3% were disparate. As for the evolution of CXR findings, 61.5% worsened, 30.8% remained unchanged, and 7.7% improved. Clinico-radiological correlation was found in 61.7% of patients. In the SICU, we found that 45.1% of results were concordant, 21.4% were partially concordant, and 33.5% were disparate. As for the evolution of CXR findings, 46.5% worsened, 32.6% remained unchanged, and 20.9% improved. Clinico radiological correlation was found in 51.2% of patients. Conclusion: The utility of a daily CXR may be limited, due to a lack of concordance of results between fellows and seniors and a weak clinico-radiological correlation.


Keywords: bedside; chest X-ray; systematic; patient-centered; intensive care unit; patient-centered.

 

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