Adult patients (12 years and older) admitted acutely with a sickle cell crisis who consent to taking part in the study. Armed Forces Hospital, Southern Region, Kingdom of Saudi Arabia. Quantitation of D-dimer level during a sickling crisis and its correlation with other clinical abnormalities. Raised D-dimer levels in acute sickle cell crisis and their correlation with chest X-ray abnormalities.ĭar, Javeed Mughal, Inam Hassan, Hilali Al Mekki, Taj E Chapunduka, Zivani Hassan, Imad S A A normal level has a high negative predictive value for an abnormal chest X-ray. Conclusion: D-dimer levels are frequently raised during an acute painful crisis. Of those with a normal chest X-ray only one patient had a raised D-dimer level: sensitivity of 92.3%, specificity 40.6%, positive predictive value 38.7% and negative predictive value of 92.9% for an abnormal chest X-ray. D-dimer levels were raised in 31 (68.9%) of 45 episodes of painful crisis of whom 13 had an abnormal chest X-ray. Results: 36 patients with homozygous sickle cell disease consented to take part in the study. Candidates may re-participate if they are readmitted with a further acute painful crisis. Patients: Adult patients (12 years and older) admitted acutely with a sickle cell crisis who consent to taking part in the study. Setting: Armed Forces Hospital, Southern Region, Kingdom of Saudi Arabia. Objective: Quantitation of D-dimer level during a sickling crisis and its correlation with other clinical abnormalities. Raised D-dimer levels in acute sickle cell crisis and their correlation with chest X-ray abnormalitiesĭar, Javeed Mughal, Inam Hassan, Hilali Al Mekki, Taj E. Chest ultrasound represents a valid alternative to chest x-ray to detect most postoperative abnormalities and misplacements. Chest auscultation may help identify endotracheal tube misplacement and tension pneumothorax but it may miss most major abnormalities. There was a highly significant correlation between abnormalities detected by chest ultrasound and x-ray (k = 0.90), but a poor correlation between chest auscultation and x-ray abnormalities (k = 0.15). Six lung pathologic changes and endotracheal tube malposition were found. All patients included were studied by chest auscultation, ultrasound, and x-ray upon admission to intensive care after cardiac surgery. One hundred fifty-one consecutive adult patients undergoing cardiac surgery. Diagnostic accuracy of chest auscultation and chest ultrasound were compared in identifying individual abnormalities detected by chest x-ray, considered the reference method. The aim of the study was to evaluate whether chest ultrasound represents an effective alternative to bedside chest x-ray to identify early postoperative abnormalities. Vezzani, Antonella Manca, Tullio Brusasco, Claudia Santori, Gregorio Valentino, Massimo Nicolini, Francesco Molardi, Alberto Gherli, Tiziano Corradi, FrancescoĬhest auscultation and chest x-ray commonly are used to detect postoperative abnormalities and complications in patients admitted to intensive care after cardiac surgery. ĭiagnostic value of chest ultrasound after cardiac surgery: a comparison with chest X-ray and auscultation. top of page Additional Information and Resources Radiation Therapy for Lung Cancer top of page This page. may be necessary to clarify the results of a chest x-ray or to look for abnormalities not visible on the chest x-ray.
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