Publicação
Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study
| Resumo: | Abstract Background: The role of ultra-low-dose chest CT (ULDCT) in the emergency department is unknown. Purpose: This study sought to examine feasibility of ULDCT in adults presenting to the emergency department for whom pneumonia was suspected. Radiation dose and time interval between medical request and ULDCT results were measured, antibiotic prescriptions were correlated. Methods: Between October 2017 and December 2018, we prospectively enrolled consecutive healthy adult patients in a single-center for whom community-acquired pneumonia was suspected and for whom no definitive diagnosis was possible by clinical judgment. Exclusion criteria comprised all chronic conditions that could impact severity and interpretation of image. Results: 131 eligible patients (mean age 43.5 years; 57% men) were enrolled to ULDCT. Eighteen (13.7%) patients were excluded. Average CT radiation dose was 0.14 mSv. Time interval between medical request and ultra-low-dose chest CT result was 43 minutes. Only 15.9% of patients with negative CT received antibiotics. Conclusion: Ultra-low-dose chest CT was feasible for almost all patients in a group of healthy adults presenting to the emergency department with suspected community-acquired pneumonia. Results were made available in a reasonable interval, and negative ones were associated with a low antibiotic prescription rate. |
|---|---|
| Autores principais: | Bianco,Danilo P. |
| Outros Autores: | Accorsi,Tarso A. D.; Souza,Jose L.; Mello,Eduardo S.; Silva,Joselito A.; Teles,Gustavo B. S.; Chate,Rodrigo C.; Santos,Andre R. C.; Moron,Renato A.; Mattos,Fernando R.; Teles,Adriana Gusman; Oliveira,Roger Pereira; Almeida,Elizabeth Aparecida; Zimmer,Paulo M.; Funari,Marcelo B. G.; Benveniste,Marcelo; Szarf,Gilberto |
| Assunto: | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868442002672058368 |
|---|---|
| author | Bianco,Danilo P. |
| author2 | Accorsi,Tarso A. D. Souza,Jose L. Mello,Eduardo S. Silva,Joselito A. Teles,Gustavo B. S. Chate,Rodrigo C. Santos,Andre R. C. Moron,Renato A. Mattos,Fernando R. Teles,Adriana Gusman Oliveira,Roger Pereira Almeida,Elizabeth Aparecida Zimmer,Paulo M. Funari,Marcelo B. G. Benveniste,Marcelo Szarf,Gilberto |
| author2_role | author author author author author author author author author author author author author author author author |
| author_facet | Bianco,Danilo P. Accorsi,Tarso A. D. Souza,Jose L. Mello,Eduardo S. Silva,Joselito A. Teles,Gustavo B. S. Chate,Rodrigo C. Santos,Andre R. C. Moron,Renato A. Mattos,Fernando R. Teles,Adriana Gusman Oliveira,Roger Pereira Almeida,Elizabeth Aparecida Zimmer,Paulo M. Funari,Marcelo B. G. Benveniste,Marcelo Szarf,Gilberto |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Bianco,Danilo P.\"},{\"Person.name\":\"Accorsi,Tarso A. D.\"},{\"Person.name\":\"Souza,Jose L.\"},{\"Person.name\":\"Mello,Eduardo S.\"},{\"Person.name\":\"Silva,Joselito A.\"},{\"Person.name\":\"Teles,Gustavo B. S.\"},{\"Person.name\":\"Chate,Rodrigo C.\"},{\"Person.name\":\"Santos,Andre R. C.\"},{\"Person.name\":\"Moron,Renato A.\"},{\"Person.name\":\"Mattos,Fernando R.\"},{\"Person.name\":\"Teles,Adriana Gusman\"},{\"Person.name\":\"Oliveira,Roger Pereira\"},{\"Person.name\":\"Almeida,Elizabeth Aparecida\"},{\"Person.name\":\"Zimmer,Paulo M.\"},{\"Person.name\":\"Funari,Marcelo B. G.\"},{\"Person.name\":\"Benveniste,Marcelo\"},{\"Person.name\":\"Szarf,Gilberto\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Bianco,Danilo P. Accorsi,Tarso A. D. Souza,Jose L. Mello,Eduardo S. Silva,Joselito A. Teles,Gustavo B. S. Chate,Rodrigo C. Santos,Andre R. C. Moron,Renato A. Mattos,Fernando R. Teles,Adriana Gusman Oliveira,Roger Pereira Almeida,Elizabeth Aparecida Zimmer,Paulo M. Funari,Marcelo B. G. Benveniste,Marcelo Szarf,Gilberto |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| datacite.titles.title.fl_str_mv | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| dc.creator.none.fl_str_mv | Bianco,Danilo P. Accorsi,Tarso A. D. Souza,Jose L. Mello,Eduardo S. Silva,Joselito A. Teles,Gustavo B. S. Chate,Rodrigo C. Santos,Andre R. C. Moron,Renato A. Mattos,Fernando R. Teles,Adriana Gusman Oliveira,Roger Pereira Almeida,Elizabeth Aparecida Zimmer,Paulo M. Funari,Marcelo B. G. Benveniste,Marcelo Szarf,Gilberto |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512024000100012 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Portuguesa de Radiologia e Medicina Nuclear |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Acta Radiológica Portuguesa v.36 n.1 2024 |
| dc.subject.none.fl_str_mv | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| dc.title.fl_str_mv | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Abstract Background: The role of ultra-low-dose chest CT (ULDCT) in the emergency department is unknown. Purpose: This study sought to examine feasibility of ULDCT in adults presenting to the emergency department for whom pneumonia was suspected. Radiation dose and time interval between medical request and ULDCT results were measured, antibiotic prescriptions were correlated. Methods: Between October 2017 and December 2018, we prospectively enrolled consecutive healthy adult patients in a single-center for whom community-acquired pneumonia was suspected and for whom no definitive diagnosis was possible by clinical judgment. Exclusion criteria comprised all chronic conditions that could impact severity and interpretation of image. Results: 131 eligible patients (mean age 43.5 years; 57% men) were enrolled to ULDCT. Eighteen (13.7%) patients were excluded. Average CT radiation dose was 0.14 mSv. Time interval between medical request and ultra-low-dose chest CT result was 43 minutes. Only 15.9% of patients with negative CT received antibiotics. Conclusion: Ultra-low-dose chest CT was feasible for almost all patients in a group of healthy adults presenting to the emergency department with suspected community-acquired pneumonia. Results were made available in a reasonable interval, and negative ones were associated with a low antibiotic prescription rate. |
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| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512024000100012 |
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| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
| network_acronym_str | scielopt |
| network_name_str | SciELO Portugal |
| oai_identifier_str | oai:scielo:S2183-13512024000100012 |
| organization_str_mv | urn:organizationAcronym:scielo |
| person_str_mv | Bianco,Danilo P. Accorsi,Tarso A. D. Souza,Jose L. Mello,Eduardo S. Silva,Joselito A. Teles,Gustavo B. S. Chate,Rodrigo C. Santos,Andre R. C. Moron,Renato A. Mattos,Fernando R. Teles,Adriana Gusman Oliveira,Roger Pereira Almeida,Elizabeth Aparecida Zimmer,Paulo M. Funari,Marcelo B. G. Benveniste,Marcelo Szarf,Gilberto |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Sociedade Portuguesa de Radiologia e Medicina Nuclear |
| reponame_str | SciELO Portugal |
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| spelling | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility StudyBianco,Danilo P.Accorsi,Tarso A. D.Souza,Jose L.Mello,Eduardo S.Silva,Joselito A.Teles,Gustavo B. S.Chate,Rodrigo C.Santos,Andre R. C.Moron,Renato A.Mattos,Fernando R.Teles,Adriana GusmanOliveira,Roger PereiraAlmeida,Elizabeth AparecidaZimmer,Paulo M.Funari,Marcelo B. G.Benveniste,MarceloSzarf,GilbertoPneumoniaComputed tomographyAntibacterial agentsEmergency medical services.open accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512024000100012URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512024000100012URLHasVersion2024-04-01Abstract Background: The role of ultra-low-dose chest CT (ULDCT) in the emergency department is unknown. Purpose: This study sought to examine feasibility of ULDCT in adults presenting to the emergency department for whom pneumonia was suspected. Radiation dose and time interval between medical request and ULDCT results were measured, antibiotic prescriptions were correlated. Methods: Between October 2017 and December 2018, we prospectively enrolled consecutive healthy adult patients in a single-center for whom community-acquired pneumonia was suspected and for whom no definitive diagnosis was possible by clinical judgment. Exclusion criteria comprised all chronic conditions that could impact severity and interpretation of image. Results: 131 eligible patients (mean age 43.5 years; 57% men) were enrolled to ULDCT. Eighteen (13.7%) patients were excluded. Average CT radiation dose was 0.14 mSv. Time interval between medical request and ultra-low-dose chest CT result was 43 minutes. Only 15.9% of patients with negative CT received antibiotics. Conclusion: Ultra-low-dose chest CT was feasible for almost all patients in a group of healthy adults presenting to the emergency department with suspected community-acquired pneumonia. Results were made available in a reasonable interval, and negative ones were associated with a low antibiotic prescription rate.Sociedade Portuguesa de Radiologia e Medicina NuclearActa Radiológica Portuguesa v.36 n.1 2024text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature |
| spellingShingle | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study Bianco,Danilo P. Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| status | SINGLETON |
| subject.fl_str_mv | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| title | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| title_full | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| title_fullStr | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| title_full_unstemmed | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| title_short | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| title_sort | Ultra-Low-Dose Computed Tomography for Pneumonia in the Emergency Department: A Feasibility Study |
| topic | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| topic_facet | Pneumonia Computed tomography Antibacterial agents Emergency medical services. |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512024000100012 |
| visible | 1 |