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10.1259/bjr.20150654 http://scihub22266oqcxt.onion/10.1259/bjr.20150654 C4846199!4846199 !26861744     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26861744 &cmd=llinks): Failed to open stream: HTTP request failed! 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The usefulness of low-dose CT scan in elderly patients with suspected acute lower respiratory infection in the emergency room |pdf=|usr=}}{{26861744 }} gab.com Text The usefulness of low-dose CT scan in elderly patients with suspected acute lower respiratory infection in the emergency room JO: Br J Radiol http://www.kidney.de/pget.php?&tw=1&pmid=26861744 #FOAvip OBJECTIVE: To evaluate the usefulness of low-dose CT (LDCT) for the diagnosis of acute lower respiratory infection (ALRI) in elderly patients in the emergency room (ER). METHODS: A total of 160 consecutive patients (mean age: 75.9?±?9.2 years; range: 60-97 years), who were diagnosed to have ALRI by LDCT in the ER, were enrolled in this study. Initial chest radiograph (CR) and CT patterns of ALRI were analysed, and clinical courses of patients were assessed. RESULTS: 49 patients showed negative CR, in whom the main CT patterns were diffuse bronchial wall thickening (n?=?23), ground-glass opacity (n?=?6), mixed centrilobular nodules and ground-glass opacity (n?=?3), small consolidation (n?=?8) or consolidation in the dependent lung (n?=?9), while the other 111 patients with the main CT pattern of consolidation demonstrated pulmonary abnormality on CR. Pulmonary oedema (12.5%) and pleural effusion (23.1%) were associated. The rate of hospitalization, care in the intensive care unit, mortality and comorbidity were significantly higher in the CR(+)LDCT(+) group (88.3%, 36.1%, 18.2% and 59.5%) than in the CR(-)LDCT(+) group (55.1%, 8.2%, 2.0% and 38.8%; p???0.05). CONCLUSION: LDCT was useful for the early diagnosis of ALRI in elderly patients who showed negative initial CR. The patients with negative initial CR had main CT patterns of diffuse bronchial wall thickening, ground-glass opacity, centrilobular nodules, small consolidation or consolidation in the dependent lung on LDCT. ADVANCES IN KNOWLEDGE: The use of LDCT may be considered for the early diagnosis of ALRI in elderly patients who have high comorbidity. Twit Text FOAVip The usefulness of low-dose CT scan in elderly patients with suspected acute lower respiratory infection in the emergency room ????Br J Radiol http://www.kidney.de/pget.php?&tw=1&pmid=26861744 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26861744 #FOAvip English Wikipedia <ref>{{Cite pmid|26861744 }}</ref> The usefulness of low-dose CT scan in elderly patients with suspected acute lower respiratory infection in the emergency room #MMPMID26861744 Park JE ; Kim Y ; Lee SW ; Shim SS ; Lee JK ; Lee JH Br J Radiol 2016[]; 89 (1060 ): 20150654 PMID26861744 show ga OBJECTIVE: To evaluate the usefulness of low-dose CT (LDCT) for the diagnosis of acute lower respiratory infection (ALRI) in elderly patients in the emergency room (ER). METHODS: A total of 160 consecutive patients (mean age: 75.9?±?9.2 years; range: 60-97 years), who were diagnosed to have ALRI by LDCT in the ER, were enrolled in this study. Initial chest radiograph (CR) and CT patterns of ALRI were analysed, and clinical courses of patients were assessed. RESULTS: 49 patients showed negative CR, in whom the main CT patterns were diffuse bronchial wall thickening (n?=?23), ground-glass opacity (n?=?6), mixed centrilobular nodules and ground-glass opacity (n?=?3), small consolidation (n?=?8) or consolidation in the dependent lung (n?=?9), while the other 111 patients with the main CT pattern of consolidation demonstrated pulmonary abnormality on CR. Pulmonary oedema (12.5%) and pleural effusion (23.1%) were associated. The rate of hospitalization, care in the intensive care unit, mortality and comorbidity were significantly higher in the CR(+)LDCT(+) group (88.3%, 36.1%, 18.2% and 59.5%) than in the CR(-)LDCT(+) group (55.1%, 8.2%, 2.0% and 38.8%; p???0.05). CONCLUSION: LDCT was useful for the early diagnosis of ALRI in elderly patients who showed negative initial CR. The patients with negative initial CR had main CT patterns of diffuse bronchial wall thickening, ground-glass opacity, centrilobular nodules, small consolidation or consolidation in the dependent lung on LDCT. ADVANCES IN KNOWLEDGE: The use of LDCT may be considered for the early diagnosis of ALRI in elderly patients who have high comorbidity. |Acute Disease [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Emergency Service, Hospital/statistics & numerical data [MESH] |Female [MESH] |Humans [MESH] |Lung Diseases/*diagnostic imaging [MESH] |Male [MESH] |Middle Aged [MESH] |Radiation Dosage [MESH] |Respiratory Tract Infections/*diagnostic imaging [MESH] |Retrospective Studies [MESH]The usefulness of low-dose CT scan in elderly patients with suspected (epmc).pdf DeepDyve Pubget Overpricing