Observational studyIntensive care medicine2015
Diagnostic yield and safety of CT scans in ICU.
Observational study in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Diagnosis Accuracy of Lung Ultrasound for ARF in Critically Ill Patients: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2021Pooled it
- Comparison of stationary digital chest tomosynthesis to portable chest radiographs: A patient study.PloS one · 2026Article
- The diagnostic role of 2-[La Radiologia medica · 2025Article
- Searching for Infectious Foci in Intensive Care Patients: Diagnostic Yield of Computed Tomography and Prognostic Value of Clinical and Laboratory Chemical Parameters.Journal of clinical medicine · 2025Article
- Imaging of ventilation and lung injury with low-frequency tomographic ultrasound.Medical physics · 2024Article
- [Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit].Anales del sistema sanitario de Navarra · 2024Article
- Evaluation of a Lung Ultrasound Score in Hospitalized Adult Patients with COVID-19 in Barcelona, Spain.Journal of clinical medicine · 2024Article
- Malnutrition and pectoralis muscle index in medical intensive care unit patients: A matched cohort study.JPEN. Journal of parenteral and enteral nutrition · 2024Article
- Bedside Laparoscopy in the Critically Ill: A Review of the Literature.Journal of clinical medicine · 2024Review
- Bedside ultrasonographic evaluation of optic nerve sheath diameter for monitoring of intracranial pressure in traumatic brain injury patients: a cross sectional study in level II trauma care center in India.Acute and critical care · 2024Article
- Clinical impact of screening computed tomography in extracorporeal membrane oxygenation: a retrospective cohort study.Annals of intensive care · 2023Article
- Intrahospital Transport of Critically Ill Patients: Safety First.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Practice Changes Among Patients Without COVID-19 Receiving Mechanical Ventilation During the Early COVID-19 Pandemic.Critical care explorations · 2023Article
- Monitoring of pulmonary involvement in critically ill COVID-19 patients - should lung ultrasound be preferred over CT?The ultrasound journal · 2023Article
- Review: Emerging Eye-Based Diagnostic Technologies for Traumatic Brain Injury.IEEE reviews in biomedical engineering · 2023Review
- Effects of a Chair Positioning Session on Awake Non-Intubated COVID-19 Pneumonia Patients: A Multicenter, Observational, and Pilot Study Using Lung Ultrasound.Journal of clinical medicine · 2022Article
- Stability of OCT and OCTA in the Intensive Therapy Unit Setting.Diagnostics (Basel, Switzerland) · 2021Article
- Can Thoracic Ultrasound on Admission Predict the Outcome of Critically Ill Patients with SARS-CoV-2? A French Multi-Centric Ancillary Retrospective Study.Advances in therapy · 2021Observational
- Retinal blood flow in critical illness and systemic disease: a review.Annals of intensive care · 2020Review
- [Imaging in intensive care units].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCritically ill patients often require CT scans. Adverse events (AE) can occur during intra-hospital transport (IHT). The aim of this prospective study was to determine the diagnostic and therapeutic yield and the safety of CT scans in ICU patients.
methodsAll ICU patients having a CT scan for diagnostic purposes were eligible. Diagnostic yield was evaluated by the agreement (full, partial or disagreement) between the physician main diagnostic hypothesis before the CT scan and the diagnosis established after the CT scan. Therapeutic yield was assessed by therapeutic changes after the CT scan. The safety was determined by the AE rate during IHT.
resultsA total of 533 CT scans were performed on 359 patients in three teaching hospital ICUs. The diagnostic yield of CT scan showed 40.7 % of full agreement, 5.6 % of partial agreement and 53.7 % of disagreement with the main diagnostic hypothesis formulated before the CT scan. The CT-scan brought new elements to the diagnosis in 22.9 % of the cases. There was 54.4 % of therapeutic change after CT scan, while 22.3 % of AE occurred during IHT, including 6.7 % of life-threatening events. AE occurred more frequently in the first 48 h after ICU admission, in the most severely ill patients (higher SAPS II at admission), and when there was a large amount of equipment required for transport.
conclusionsThe CT scan as a diagnostic procedure invalidated a diagnostic hypothesis and led to a therapeutic change in more than half of the cases.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.